A case of arteriovenous fistula with drainage into the coronary sinus during the percutaneous tranluminal coronary angioplasty of chronic total occlusion of circumflex coronary artery.
- Author:
Su Beom HEO
1
;
Chong Jin KIM
;
Myoung Seok KIM
;
Kon Ho SHIM
;
Yong Wan PARK
;
Eun Ju CHO
;
Jae Hyung KIM
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. africacej@yahoo.com
- Publication Type:Case Report
- Keywords:
Percutaneous transluminal coronary angioplasty;
Arteriovenous fistula
- MeSH:
Angioplasty*;
Angioplasty, Balloon, Coronary;
Arteriovenous Fistula*;
Chest Pain;
Coronary Artery Bypass;
Coronary Sinus*;
Coronary Vessels*;
Drainage*;
Dyspnea;
Humans;
Transplants
- From:Korean Journal of Medicine
2004;67(5):532-534
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous transluminal coronary angioplasty of chronic total coronary artery occlusions are at a high risk of failure and complication. We report a case of arteriovenous fistula with drainage into the coronary sinus during the percutaneous transluminal coronary angioplasty of the chronic total occlusion of circumflex coronary artery. We think that the arteriovenous fistula of this case was occurred by the guide wire- induced trauma. But after 20-30 minutes later, the injection of contrast no longer detectd arteriovenous fistula. Later we recommended coronary artery bypass graft surgery to the patient, but he refused. Thereafter he received conservative treatment and dyspnea, chest pain were improved.
