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An Iatrogenic Coronary Arteriovenous Fistula Caused by Guidewire Trauma during Percutaneous Coronary Intervention

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초록

We report the case of a 51-year-old man who presented with worsening exertional chest pain in whom subsequent percutaneous coronary intervention resulted in a coronary arteriovenous fistula. Fortunately, the patient was stable and coronary angiography revealed resolution of the fistula 20 minutes later. This case study emphasizes the management of iatrogenic coronary perforations, depending on the type and severity of perforation, which generally involves initial conservative management. (Korean J Med 2012;82:337-340)

Abstract

We report the case of a 51-year-old man who presented with worsening exertional chest pain in whom subsequent percutaneous coronary intervention resulted in a coronary arteriovenous fistula. Fortunately, the patient was stable and coronary angiography revealed resolution of the fistula 20 minutes later. This case study emphasizes the management of iatrogenic coronary perforations, depending on the type and severity of perforation, which generally involves initial conservative management. (Korean J Med 2012;82:337-340)

참고문헌 (13)

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  8. 허수범, "좌회전지의 만성 완전폐쇄 병변에 대한 경피적 혈관 성형술 중 발생한 관상정맥동으로 유입되는 관동정맥루 1예", 대한내과학회지, 67(5), pp.532~534 (2004), 대한내과학회
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  13. Davis A, "Perforation of the ramus intermedius and fistula formation with the great cardiac vein", J Invasive Cardiol, 21, pp.57~59 (2009)

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