Abstract:A 56-year-old man who had twice previously undergone orthotopic heart
transplantation was admitted with dyspnea and heart failure symptoms. A biopsy
excluded rejection. Left heart catheterization revealed a coronary cameral
fistula. After the patient was given mild diuretics, his condition improved. No
significant fistula flow was detected, and he was discharged. Several months
later, the patient was readmitted with worsening chest pain and dyspnea. Left
ventricular end-diastolic pressure and flow through the … Show more
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