Sudden Death Related to Left Anterior Descending Coronary Artery Fistula Draining to the Left Ventricle: A Case Report with Review of the Literature.
- Author:
Harin CHEONG
1
;
Hee Eun KYEONG
;
Jun Mo KIM
;
Byung Ha CHOI
;
Nak Eun CHUNG
Author Information
1. Division of Forensic Medicine, National Forensic Service, Seoul, Korea. damian21@korea.kr
- Publication Type:Case Report
- Keywords:
coronary artery fistula;
sudden death;
cardiac hypertrophy;
myocardial fibrosis
- MeSH:
Adult;
Cardiomegaly;
Coronary Vessels;
Death, Sudden;
Fistula;
Heart;
Heart Diseases;
Heart Ventricles;
Humans;
Male;
Middle Aged;
Pulmonary Artery
- From:Korean Journal of Legal Medicine
2011;35(2):174-178
- CountryRepublic of Korea
- Language:English
-
Abstract:
Coronary artery fistula (CAF) is a rare congenital malformation, comprising less than 1% of all congenital heart disease. Most fistulas drain into the right-sided heart chambers or pulmonary artery, and termination in left heart chambers is an uncommon finding. Clinical presentation mainly depends on the severity of the left-to-right shunt, and adult patients usually do not develop any symptom. There are few case reports relating CAF manifested as an exceptional form of sudden unexpected death. We experienced a case of a 62-year-old male with a single CAF arising from left main coronary artery which drains into the left ventricle, and reported with review of the related articles.
