Congenital coronary arteriovenous fistulae
10.3348/jkrs.1982.18.4.744
- Author:
Yun Jeong YU
;
Jae Hyung PARK
;
Man Chung HAN
- Publication Type:Original Article
- MeSH:
Aneurysm;
Arteriovenous Fistula;
Cardiomegaly;
Coronary Vessels;
Diagnosis;
Dilatation;
Female;
Fistula;
Heart Atria;
Heart Ventricles;
Humans;
Male;
Seoul;
Thorax
- From:Journal of the Korean Radiological Society
1982;18(4):744-750
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Six cases of congenital coronary arteriovenous fistulae were diagnosed radiographically and confirmed afteroperation at Seoul National University Hospital in recent three and a quarter years since 1979. The clinical andradiological findings with the emphasis on the cinecardiographic findings were analysed. The summaries of theanalysis are as follows; 1. Among 6 cases, 2 cases were male and 4 cases were female. Age dsitribution was from 3months to 19 years. 2. In chest x-ray findings, 5 cases had cardiomegaly. Among these 5 cases, increase ofpulmonary vascularity was in 3 cases. Chest X-ray finding of the rest 1 case was within normal limit. 3. Thecoronary arteriovenous fistula orginated from the right coronary artery in 5 cases and from the single left coronary artery in 1 case. In 5 cases, a coronary arteriovenous fistula drained into the right ventricle and in 1case, a fistula from a SA node branch of the right coronary artery into the right atrium. 4. In 5 cases, a mainright coronary artery was dilated. Among these 5 cases, aneurysmal dilatation of main right coronary artery was in2 cases, saccular aneurysmal dilatation of distal portion of right coronary artery was in 2 cases and in 1 case,diffuse dilatation without aneurysm formation of a main right coronary artery. In 1 case, SA node branch of theright coronary artery was dilated with aneurysm formation. 5. For accurate diagnosis of congenital coronaryarteriovenous fistula, biplane cinecardiography is an essential procedure.
