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KMID : 0368119920220050882
Korean Circulation Journal
1992 Volume.22 No. 5 p.882 ~ p.887
A Case Report of coronary Arteriovenous Fistula Diagnosed by Two-dimensional and Transesophageal Echocardiography
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Abstract
Since coronary arteriovenous fistula (CAVF) was first reported by Krause in 1865. more than 400 cases have been reported. It is relatively rare disease and originates more commonly in the right than in the left coronary artery.
We report a case of CAVF between right coronary artery and right ventricular inflow tract with significant left to right shunt in a 34-year old female who was admitted for the cardiomegaly on routine chest X-Ray. It was detected by transthoracic
and
transesophageal echocardiography and confirmed by cardiac catheterization and coronary angiography. The opening of the fistula draining into the right ventricle was obliterated with sutures. There was no significant shunt in postoperative cardiac
catheterization and coronary angiography.
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