A Case of Coronary Arteriovenous Fistula Confirmed by Echocardiography.
10.4070/kcj.1997.27.6.652
- Author:
Jong Eog JANG
;
Weon Seung SHIN
;
Kee Sik KIM
;
Seong Wook HAN
;
Kyeung Mok SHIN
;
Seung Ho HUR
;
Yoon Nyun KIM
;
Kweon Bae KIM
- Publication Type:Case Report
- Keywords:
Coronary arteriovenous fistula;
transthoracic echocardiography;
transesophageal echocardiography;
coronary angiography
- MeSH:
Arteries;
Arteriovenous Fistula*;
Cardiac Catheterization;
Cardiac Catheters;
Chest Pain;
Coronary Angiography;
Coronary Vessels;
Dyspnea;
Echocardiography*;
Echocardiography, Transesophageal;
Female;
Fistula;
Heart Ventricles;
Humans;
Rare Diseases;
Shoulder;
Sutures;
Young Adult
- From:Korean Circulation Journal
1997;27(6):652-657
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Coronary arteriovenous fistula is relatively rare disease and originates more commonly in the right than in the left cononary artery. We report one case of cononary arteriovrnous fistula which we have experienced recently in 22 years old female, who has complained of dyspnea on exertion and intermittent anterior chest pain radiating to the left shoulder for several years. It was detected by transthoracic and transesophageal echocardiography and confirmed by cardiac catheterization and coronary angiography. In this case, the fistula was originated from the right coronary artery and drained into the posterior wall of the right ventricle, the coronary artery was dilated(diameter=1.5cm) and tortuous and significant shunt was measured(Qp/Qs=2.31). The opening of the fistula draining into right ventricle was obliterated with sutures.