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Coronary Artery Fistula Draining into the Left Ventricle

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초록

We present a case of 48-year-old male who presented with coronary artery fistula draining into left ventricle. Transthoracicechocardiography showed abnormal blood flow draining into left ventricle, with enlarged coronary arteries and multiple vascularstructures around ventricular myocardium. Coronary computed tomography revealed dilatation of entire left coronary arterywhich was wrapping around left ventricle, and draining into the posterior side of left ventricle. He did not undergo any invasivetreatment, because he was not symptomatic.

Abstract

We present a case of 48-year-old male who presented with coronary artery fistula draining into left ventricle. Transthoracicechocardiography showed abnormal blood flow draining into left ventricle, with enlarged coronary arteries and multiple vascularstructures around ventricular myocardium. Coronary computed tomography revealed dilatation of entire left coronary arterywhich was wrapping around left ventricle, and draining into the posterior side of left ventricle. He did not undergo any invasivetreatment, because he was not symptomatic.

참고문헌 (10)

  1. Ata Y, "Coronary arteriovenous fistulas in the adults : natural history and management strategies", J Cardiothorac Surg, 4, pp.62~ (2009)
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  3. Sommer RJ, "Pathophysiology of congenital heart disease in the adult : part I : Shunt lesions", Circulation, 117, pp.1090~1099 (2008)
  4. Mangukia CV, "Coronary artery fistula", Ann Thorac Surg, 93, pp.2084~2092 (2012)
  5. Mohanty SK, "An interesting case of coronary cameral fistula", Ann Card Anaesth, 8, pp.152~154 (2005)
  6. Roberts WC, "Major anomalies of coronary arterial origin seen in adulthood", Am Heart J, 111, pp.941~963 (1986)
  7. Vavuranakis M, "Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history", Cathet Cardiovasc Diagn, 35, pp.116~120 (1995)
  8. Stierle U, "Myocardial ischemia in generalized coronary artery-left ventricular microfistulae", Int J Cardiol, 63, pp.47~52 (1998)
  9. Valente AM, "Predictors of long-term adverse outcomes in patients with congenital coronary artery fistulae", Circ Cardiovasc Interv, 3, pp.134~139 (2010)
  10. Schumacher G, "Congenital coronary artery fistula in infancy and childhood : diagnostic and therapeutic aspects", Thorac Cardiovasc Surg, 45, pp.287~294 (1997)

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