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KMID : 0368119930230050750
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Korean Circulation Journal
1993 Volume.23 No. 5 p.750 ~ p.753
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A Case of Giant Coronary Arteriovenous Fistula with Coronary Steal Demonstrated by Dobutamine Stress Echocardiography and 99mTc-MIBI SPECT
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온영근
박선수/최영진/최성주/한기훈/한규록/손대원/오병희/이명묵
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Abstract
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We present a case of giant coronary arteriovenous fistula betwene left main coronary artery and pulmonary artery in a 60-year-old female who presented with anginal symptom. Dobutamine stress echocardiography and myocardial perfusion scan with
99mTc
MIBI
revealed a reversible perfusion defect in the septal region. Coronary angiography demonstrated a giant coronary arteriovenous fistula originating from the left main coronary artery and draining into the pulmonary artery. This appears to be the
first
case in which dobutamine stress echocardiography and myocardial perfusion scan with 99mTc MIBI demonstrated myocardial ischemia due to coronary steal in patient with a coronary arteriovenous fistula.
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KEYWORD
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