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ARTICLE |

Left-Coronary-Artery to Left-Ventricle Fistula FREE

Allen I. Midell, MD; Gustavo A. Bermudez, MD
JAMA. 1978;240(19):2045-2045. doi:10.1001/jama.1978.03290190023011
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To the Editor.—  We read with interest the report on a fistula originating from the left anterior descending coronary artery and terminating in the left ventricle by Housman and associates (240:372,1978). We recently reported a similar case in which the fistula was surgically closed and presented a movie of the same at the American Heart Association meeting in Anaheim, Calif, on Nov 17, 1975.1 Our patient's fistula involved the main left anterior descending coronary artery and not a diagonal or contributing branch. Consequently, the authors' statement, "to our knowledge, no reported case of leftcoronary-artery... to left-ventricle... fistula exists in the English literature," is an incongruity. We congratulate the authors on their report but must point out that a more thorough perusal of the recent surgical literature would have discovered our recent contribution to the understanding of this interesting anomaly.

REFERENCES

Midell AI, Bermudez GA, Replogle R:  Surgical closure of left coronary artery—left ventricular fistula: The second case reported in the literature and a review of five previously reported cases of coronary artery fistula terminating in the left ventricle . J Thorac Cardiovasc Surg 74:199-203, 1977;.

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Midell AI, Bermudez GA, Replogle R:  Surgical closure of left coronary artery—left ventricular fistula: The second case reported in the literature and a review of five previously reported cases of coronary artery fistula terminating in the left ventricle . J Thorac Cardiovasc Surg 74:199-203, 1977;.
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