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KMID : 0368120080380060331
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Korean Circulation Journal
2008 Volume.38 No. 6 p.331 ~ p.334
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A Case of Bilateral Coronary to Pulmonary Artery Fistulas Associated With Severe Aortic Regurgitation
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Lee Seung-Jae
Her Sung-Ho
Jin Seung-Won
Lee Jong-Min
Yoon Hee-Jung
Lee Hee-Yeon
Kim Hee-Yeon
Kim Gun-Min
Park Cheol-Hong
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Abstract
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Coronary artery fistula (CAF) is a rare form of congenital anomalies of the coronary arteries, and this is usually discovered by chance during coronary angiography. However, this type of fistula can cause important coronary morbidity and mortality leading to angina, syncope, congestive heart failure, myocardial infarction and sudden death. Bilateral CAFs are even rarer, and especially when combined with valvular heart disease. The coincidence of CAF with aortic regurgitation is relatively rare and this might sometimes cause myocardial ischemia. We present here a case of bilateral coronary-pulmonary artery fistulas that arose from the first diagonal branch of the left anterior descending artery and the conal branch of the right coronary artery combined with severe aortic regurgitation, and this all caused myocardial ischemia.
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KEYWORD
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Arteriovenous fistula, Coronary vessels, Aortic regurgitation
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