Congenital coronary arteriovenous fistula

Three verified cases of congenital coronary arteriovenous fistula have been described, bringing the total reported cases to forty-six. The combination of a machinery murmur in an unusual location, catheterization evidence of a left to right shunt, and opacification of a dilated coronary artery by angiography confirms the clinical diagnosis.

Surgical correction has proved to be safe and effective. The number of surgical cures (including two cases reported herein) now totals fifteen cases with one death due to surgery.