A Case of Giant Coronary Arteriovenous Fistula with Coronary Steal Demonstrated by Dobutamine Stress Echocardiography and (99m)Tc-MIBI SPECT.
10.4070/kcj.1993.23.5.750
- Author:
Young Keun ON
;
Sun Su PARK
;
Young Jin CHOI
;
Sung Ju COI
;
Gi Hoon HAN
;
Gyu Rok HAN
;
Dae Won SOHN
;
Byung Hee OH
;
MYoung Mook LEE
;
Young Bae PARK
;
Yun Shik CHOI
;
Jung Don SEO
;
Young Woo LEE
- Publication Type:Case Report
- Keywords:
Coronary arteriovenous fistula;
Dobutamine stress echocardiography (99m)Tc-MIBI SPECT
- MeSH:
Arteriovenous Fistula*;
Coronary Angiography;
Coronary Vessels;
Dobutamine*;
Echocardiography, Stress*;
Female;
Humans;
Middle Aged;
Myocardial Ischemia;
Perfusion;
Pulmonary Artery;
Septum of Brain;
Tomography, Emission-Computed, Single-Photon*
- From:Korean Circulation Journal
1993;23(5):750-753
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We present a case of giant coronary arteriovenous fistula between left main coronary artery and pulmonary artery in a 60-year-old female who presented with anginal symptom. Dobutamine stress echocardiography and myocardial perfusion scan with (99m)Tc-MIBI revealed a reversible perfusion defect in the septal region. Coronary angiography demonstrated a giant coronary arteriovenous fistula origination from the left main coronary artery and draining into the pulmonary artery. This appears to be the first case in which dobutamine stress echocardiography and myocardial perfusion scan with (99m)Tc-MIBI demonstrated myocardial ischemia due to coronary steal in patient with a coronary arteriovenous fistula.
