An Adult Case of Tetralogy of Fallot Accompanied by Multiple Anomalies Including Multidirectional Coronary Artery Fistulas.
10.4070/kcj.2014.44.3.196
- Author:
Jae Joong LEE
1
;
Jae Young CHO
;
Yun Ho LEE
;
Byung Hyun LEE
;
Chang Gyu PARK
;
Hong Seog SEO
;
Dong Joo OH
;
Jin Oh NA
Author Information
1. Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. jinona@medimail.co.kr
- Publication Type:Case Report
- Keywords:
Tetralogy of Fallot;
Arteriovenous fistula;
Coronary artery
- MeSH:
Adult*;
Aorta, Thoracic;
Arteries;
Arteriovenous Fistula;
Coronary Vessels*;
Fistula*;
Heart Atria;
Humans;
Pulmonary Artery;
Tetralogy of Fallot*;
Vena Cava, Superior
- From:Korean Circulation Journal
2014;44(3):196-199
- CountryRepublic of Korea
- Language:English
-
Abstract:
Multidirectional coronary artery fistulas (CAFs) are rare in patients with tetralogy of Fallot (TOF). We report an adult patient who underwent open-heart surgery for TOF 24 years before the discussed presentation. Coronary angiogram and cardiac computed tomography revealed multidirectional CAFs originating from the left main coronary artery and draining to the left atrium, pulmonary artery and subphrenic artery. The patient also showed additional congenital anomalies, such as persistent left superior vena cava and right-sided aortic arch.
