A Case of Bilateral Coronary to Pulmonary Artery Fistulas Associated With Severe Aortic Regurgitation.
10.4070/kcj.2008.38.6.331
- Author:
Seung Jae LEE
1
;
Sung Ho HER
;
Seung Won JIN
;
Jong Min LEE
;
Hee Jeoung YOON
;
Hee Yeon LEE
;
Hee Yeon KIM
;
Gun Min KIM
;
Cheol Hong PARK
Author Information
1. Division of Cardiology, College of Medicine, The Catholic University of Korea, Daejeon, Korea. hhhsungho@naver.com
- Publication Type:Case Report
- Keywords:
Arteriovenous fistula;
Coronary vessels;
Aortic regurgitation
- MeSH:
Aortic Valve Insufficiency;
Arteries;
Arteriovenous Fistula;
Coronary Angiography;
Coronary Vessels;
Death, Sudden;
Fistula;
Heart Failure;
Heart Valve Diseases;
Myocardial Infarction;
Myocardial Ischemia;
Pulmonary Artery;
Syncope
- From:Korean Circulation Journal
2008;38(6):331-334
- CountryRepublic of Korea
- Language:English
-
Abstract:
Coronary artery fistula (CAF) is a rare form of congenital anomalies of the coronary arteries, and this is usually discovered by chance during coronary angiography. However, this type of fistula can cause important coronary morbidity and mortality leading to angina, syncope, congestive heart failure, myocardial infarction and sudden death. Bilateral CAFs are even rarer, and especially when combined with valvular heart disease. The coincidence of CAF with aortic regurgitation is relatively rare and this might sometimes cause myocardial ischemia. We present here a case of bilateral coronary-pulmonary artery fistulas that arose from the first diagonal branch of the left anterior descending artery and the conal branch of the right coronary artery combined with severe aortic regurgitation, and this all caused myocardial ischemia.
