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A Case of Coronary Arteriovenous Fistula Associated with Giant Coronary Artery Aneurysm

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초록

Coronary arteriovenous fistula is a more prevalent, hemodynamically significant congenital malformation. Both coronary arteries arise normally from their aortic sinuses, but the branches of fistula communicate directly with cardiac chamber, pulmonary trunk, coronary sinus, superior vena cava, or pulmonary vein. Fistula associated with coronary aneurysm is an uncommon finding. We report a rare case of 76-year-old female patient who had a coronary arteriovenous fistula with giant coronary artery aneurysm. This case is clearly diagnosed by echocardiography, three-dimensional computed tomography (3DCT), and coronary angiography (CAG).

Abstract

Coronary arteriovenous fistula is a more prevalent, hemodynamically significant congenital malformation. Both coronary arteries arise normally from their aortic sinuses, but the branches of fistula communicate directly with cardiac chamber, pulmonary trunk, coronary sinus, superior vena cava, or pulmonary vein. Fistula associated with coronary aneurysm is an uncommon finding. We report a rare case of 76-year-old female patient who had a coronary arteriovenous fistula with giant coronary artery aneurysm. This case is clearly diagnosed by echocardiography, three-dimensional computed tomography (3DCT), and coronary angiography (CAG).

참고문헌 (7)

  1. Shiga Y, "Left main coronary trunk connecting into right atrium with an aneurysmal coronary artery fistula", Int J Cardiol, 123, pp.e28~e30 (2008)
  2. Maleszka A, "Giant coronary arteriovenous fistula. A case report and review of the literature", Z Kardiol, 94, pp.38~43 (2005)
  3. Androulakis A, "Arteriovenous connection between the aorta and the coronary sinus through a giant fistulous right coronary artery", Hellenic J Cardiol, 49, pp.48~51 (2008)
  4. Rangasetty UC, "Giant coronary artery fistula with aneurysm and multiple openings: A two-dimensional echocardiographic evaluation", Echocardiography, 23, pp.611~613 (2006)
  5. Bobos D, "Successful surgical repair of a giant arteriovenous fistula of the coronary arteries", J Card Surg, 21, pp.269~270 (2006)
  6. Saxena P, "Surgical repair of a large coronary artery aneurysm with arteriovenous fistula", J Thorac Cardiovasc Surg, 131, pp.1167~1168 (2006)
  7. Olgunturk R, "Transcatheter closure of a rare form of coronary arteriovenous fistula (circumflex artery to coronary sinus)", Int J Cardiol, 113, pp.261~263 (2006)

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