우관동맥에서 좌심실로 개구되는 관동맥루 치험 1예
Right Coronary Artery to Left Ventricle Fistula
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저자 등은 우관동맥이 좌심실로 유입되는 관동맥루를 가진 환자에서 경식도 초음파, 심근조영 초음파 및 관동맥 조영술을 이용하여 확진한 1예를 경험하였고 이를 수술적 치료에 의해 교정하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Coronary arterioventricular fistula is a rare form of congenital malformation of coronary artery. A 29-year-old man presented with a 4-year history of shortness of breath and recently developed chest discomfort during exertion. A huge, dilated coronary arterioventricular fistula from right coronary artery to left ventricle was diagnosed with transthoracic echocardiography, transesophageal echocardiography and coronary angiography. This finding was confirmed by selective administration of the microbubble into the right coronary artery during transthoracic echocardiography monitoring. The opening of the fistula at the level of left ventricle was obliterated with autologous pericardium and the patient recovered and discharged uneventfully.