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(Circulation. 1959;20:1128.)
© 1959 American Heart Association, Inc.

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An Aortic-Right Ventricular Fistula of More than Eighteen Months' Duration

An Approach to Dynamics

THEODORE T. BRONK M.D.¹; WILLIAM J. MCDERMID M.D.¹; SIMON RODBARD M.D., PH.D.¹

¹ From the Departments of Pathology and Medicine, Mount St. Mary's Hospital, Niagara Falls, and The University of Buffalo Chronic Disease Research Institute, Buffalo, N.Y.

A 79-year-old man who developed evidence suggesting an intracardiac shunt survived at least 18 months after its onset. Intracardiac mechanisms that may protect the pulmonary circulation from excessive flows are suggested, based on anatomic findings at necropsy.