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KMID : 0368120000300070881
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Korean Circulation Journal
2000 Volume.30 No. 7 p.881 ~ p.884
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One Case of Left Anterior Descending Artery Fistula-Right Ventricle Complicating Rotablator Atherectomy with Spontaneous Occlusion in a Following Coronary Angiogram
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최락경/Choi, Rak Kyeong
김인원/적승묵/한춘호/고충원/임달수/박헌식/Kim, In Won/Jung, Seung Mook/Han, Choon Ho/Goh, Choong Won/Lim, Dal Soo/Park, Hun Sik
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Abstract
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Coronary perforation with rotablator atherectomy occurs very rarely. Most often, this leads to communication of the coronary artery to the pericardial space. Perforation of a coronary artery into an anatomic cavity chamber is the rarest type of perforation. Most patients with isolated small coronary artery fistulas are asymptomatic. Small coronary artery fistulas closed spontaneously in most of the cases. We report a case where rotablator atherectomy caused a coronary artery rupture and fistulization to the right ventricle with spontaneous occlusion in a following coronary angiogram. (Korean Circulation J 2000:30(7): 881-884)
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