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KMID : 0368120000300101291
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Korean Circulation Journal
2000 Volume.30 No. 10 p.1291 ~ p.1294
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Congenital Aortopulmonary Fistula Presenting as an Exertional Dyspnea
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김태훈/Tae Hun Kim
문찬일/최재웅/최명주/이정돈/박경희/조성범/송창섭/Chan Il Moon/Jae Woong Choi/Myung Ju Choi/Jung Don Lee/Kyung Hee Park/Sung Bum Cho/Chang Seob Song
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Abstract
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Aortopulmonary fistula is an exceedingly rare vascular malformation. It is commonly derived after chest injuly or from complication of chest operation and aortic dissection and congenital aortopulmonary fistula is only several cases combined with
Tetralogy of Fallot or aortic stenosis. But a congenital aortopulmonary fistula without any hemodynamic abnormalities was not reported. A 56-year old man with exertional dyspnea was admitted. In an examination on admission, there were no abnomalities.
Aortography showed an aortopulmonary fistula that branches from the ascending aorta adjacent to the right coronary artery, running to the main pulmonary artery. Transcatheter coil embolization was performed and he was discharged 7 day after embolization
without complication. Exertional dyspnea disappeared and careful follow up has be performed periodically.
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KEYWORD
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