Four Cases of Management of Congenital Coronary Arteriovenous Fistula.
10.4070/kcj.2002.32.2.163
- Author:
Sook Jin LEE
1
;
Sahng LEE
;
Kyung Soo KIM
;
Han Pyo CHO
;
Dae Hee SHIN
;
Sung Il CHOI
;
Hang Lak LEE
;
Jae Ung LEE
;
Soon Gil KIM
;
Jeong Hyun KIM
;
Heon Kil LIM
;
Bang Hun LEE
;
Chung Kyun LEE
Author Information
1. Cardiology Division, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea. kskim@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Arteriovenous fistula;
Coronary disease;
Embolization, therapeutic
- MeSH:
Aged;
Arteriovenous Fistula*;
Chest Pain;
Coronary Angiography;
Coronary Disease;
Electrocardiography;
Embolization, Therapeutic;
Fistula;
Follow-Up Studies;
Humans;
Ligation;
Mediastinal Cyst;
Myocardial Ischemia
- From:Korean Circulation Journal
2002;32(2):163-169
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Four cases of congenital coronary arteriovenous fistula were diagnosed using coronary angiography. Three cases had fistula-related chest pain and the remaining case showed no symptoms but displayed electrocardiographic changes suggesting myocardial ischemia. As he was elderly and had a potential for future complications, we decided to close the fistulas of all cases. Three cases were closed with transcatheter coil embolization and one with surgical ligation due to a suspicious accompanying pericardial cyst. None of the patients demonstrated periprocedural or perioperative complications and all were relieved from symptoms during the 2 year follow-up period. We concluded that transcatheter coil embolization and surgical ligation are effective methods for use in the management of coronary arteriovenous fistula.
