Author/Authors :
Laszlo Selinger MD، نويسنده , , Klaus Werner MD، نويسنده , , Rolf Silber MD، نويسنده , , Ullrich Nellessen MD، نويسنده , , Gerhard Inselmann MD، نويسنده ,
Abstract :
We describe an exceptional case of a patient who suffered a penetrating heart injury from a gunshot wound in 1945 leading to a left ventricular–right atrial fistula. Despite the resulting left-to-right shunt the patient remained relatively asymptomatic for 50 years before the onset of congestive heart failure necessitated an operation.