Cardiocutaneous fistula in a delayed iathrogenic ventricular perforation of the heart: computed tomographic and magnetic resonance imaging findings

J Comput Assist Tomogr. 2009 Mar-Apr;33(2):215-7. doi: 10.1097/RCT.0b013e318173f735.

Abstract

Cardiac iathrogenic lesions can occur during diagnostic or therapeutic procedures. Resistance of the heart to an injury may cause a delay from the traumatic event to onset of the symptomatology or to heart rupture. We describe a rare case cardiac perforation with delayed rupture of the heart in a patient previously submitted to radiation therapy for breast cancer. Cardiocutaneous fistula at the cross-sectional computed tomographic and magnetic resonance imaging findings has not been previously reported, to our knowledge.

Publication types

  • Case Reports

MeSH terms

  • Breast Neoplasms / radiotherapy
  • Carcinoma, Ductal / radiotherapy
  • Carcinoma, Ductal / secondary
  • Cardiomyopathies / diagnosis*
  • Cardiomyopathies / etiology
  • Cutaneous Fistula / diagnosis*
  • Cutaneous Fistula / etiology
  • Fatal Outcome
  • Female
  • Heart Injuries / diagnosis*
  • Heart Ventricles / injuries*
  • Humans
  • Iatrogenic Disease
  • Lymphatic Metastasis
  • Magnetic Resonance Imaging
  • Middle Aged
  • Radiation Injuries / complications
  • Radiation Injuries / diagnosis*
  • Radiotherapy, Adjuvant / adverse effects
  • Tomography, X-Ray Computed
  • Wounds, Penetrating / diagnosis*