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Circulation, Vol 62, 1131-1135, Copyright © 1980 by American Heart Association

ARTICLES

Internal mammary artery-to-pulmonary artery fistulas. Case report and review of the literature

SF Hearne and MK Burbank

A case of internal mammary artery-to-pulmonary artery fistula is presented, and all previously reported cases are reviewed. This represents a rare cause of a continuous precordial murmur that may be confused clinically with a patent ductus arteriosus. Patients are usually asymptomatic, and routine diagnostic tests may be of little help in establishing a diagnosis. Selective internal mammary angiography is the procedure of choice for confirmation and localization. The question of advisability of surgery for these patients remains unanswered.

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