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KMID : 0338420080230040216
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The Korean Journal of Internal Medicine
2008 Volume.23 No. 4 p.216 ~ p.218
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A case of congenital bilateral coronary-to-right ventricle fistula coexisting with variant angina
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Chang Se-Na
Her Sung-Ho
Do Kyong-Rock
Kim Joon-Sung
Yoon Hee-Jung
Lee Jong-Min
Jin Seung-Won
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Abstract
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A coronary arteriovenous (AV) fistula consists of a communication between a coronary artery and a cardiac chamber, a great artery or the vena cava. It is the most common anomaly that can affect coronary perfusion. Yet bilateral involvement of a coronary fistula, constitutes an uncommon subgroup of coronary AV fistulas. We herein report on a case of bilateral coronary AV fistula that was coexistent with variant angina originating from the distal right ventricular branch of the right coronary artery and the distal septal branch of the left anterior descending artery, and the latter drained into the right ventricle.
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KEYWORD
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Coronary arteriovenous fistula, Variant angina
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