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KERD
논문KCI 등재

좌심실비대 환자에서 다발성 관상동맥-좌심실 누관의 1예

Multiple coronary artery-left ventricular fistulas in a patient with left ventricular hypertrophy

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초록

편심성 심실중격비대를 동반한 다발성 관상동맥-좌심실간 미세누관의 1예를 관상동맥조영술 및 경흉부심장초음파를 통해 진단하였기에 이를 보고한다.

Abstract

Congenital coronary artery fistulas between a coronary artery and a cardiac chamber occur in 0.2% of diagnostic cardiac catheterizations and usually arise when the right coronary artery drains into a right heart structure, such as the right atrium, right ventricle, or pulmonary artery. Fistulas draining into the left ventricle are uncommon. We report a case of multiple coronary artery-left ventricular microfistulas with eccentric septal hypertrophy presented as squeezing chest pain and discomfort at rest. This was diagnosed by coronary angiography and transthoracic echocardiography.

참고문헌 (9)

  1. Levin DC, "Hemodynamically significant primary anomalies of the coronary arteries", Circulation, 58, pp.25~34 (1978)
  2. Nawa S, "Three major coronary artery-to-left ventricular shunts: report of three cases and review of literature", Cardiovasc Intervent Radiol, 20, pp.300~304 (1997)
  3. 서유승, "관상동맥 누공에 의한 급성 심근 경색 1예", 대한내과학회지, 65(2), pp.245~250 (2003), 대한내과학회
  4. 홍그루, "Multiple Coronary Artery-Left Ventricular Microfistulae in a Patient with Apical Hypertrophic Cardiomyopathy: A Demonstration by Transthoracic Color Doppler Echocardiography", Yonsei Medical Journal, 44(4), pp.710~714 (2003), 연세대학교의과대학
  5. Hobbs RE, "Coronary artery fistulae: a 10-year review", Cleve Clin Q, 49, pp.191~197 (1982)
  6. Yasuma K, "Bilateral coronary artery fistulas with multiple sites of drainage", Jpn Circ J, 62, pp.783~784 (1998)
  7. Monmeneu JV, "Apical hypertrophic myocardiopathy and multiple fistulae between the coronary vessels and the left ventricle", Rev Esp Cardiol, 48, pp.768~770 (1995)
  8. 장세나, "A case of congenital bilateral coronary-to-right ventricle fistula coexisting with variant angina", The Korean Journal of Internal Medicine, 23(4), pp.216~218 (2008), 대한내과학회
  9. Tkebuchava T, "Congenital coronary fistulas in children and adults: diagnosis, surgical technique and results", J Cardiovasc Surg, 37, pp.29~34 (1996)

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