A Case of Bilateral Long Coronary Arteriovenous Fistula.
10.4070/kcj.1998.28.12.2047
- Author:
Joon Woo KIM
;
Myung Ho JEONG
;
Yeon Sang LEE
;
Jang Hyun CHO
;
Sung Hee KIM
;
Young Keun AHN
;
Jeong Gwan CHO
;
Jong Chun PARK
;
Jung Chaee KANG
- Publication Type:Case Report
- Keywords:
Coronary arteriovenous fistula
- MeSH:
Arm;
Arteries;
Arteriovenous Fistula*;
Chest Pain;
Coronary Sinus;
Coronary Vessels;
Electrocardiography;
Fistula;
Follow-Up Studies;
Humans;
Ischemia;
Male;
Mammary Arteries;
Middle Aged;
Pulmonary Artery;
Pulmonary Veins;
Tomography, Emission-Computed, Single-Photon;
Transplants;
Vena Cava, Superior
- From:Korean Circulation Journal
1998;28(12):2047-2050
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Congenital coronary arteriovenous fistulas represent abnormal communication between coronary arteries and any cardiac chambers, pulmonary artery, coronary sinus, superior vena cava or pulmonary vein. A 60 year-old male patient presented with severe effort-induced chest pain radiating to left arm. Resting electrocardiogram was normal and anterior ischemia was demonstrated on stress myocardial SPECT. Coronary angiogram reve-aled very long and tortuous coronary arteriovenous fistulas originated from the left circumflex and right coronary artery, which drained into intercostal arteries. Proximal segment of left anterior descending artery stenosed about 50%. Both coronary artery fistulas were ligated and left internal mammary artery was grafted into left anterior descending artery. After surgical correction he has no cardiovascular events on 7-month clinical follow-up.
