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KMID : 0368120140440030196
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Korean Circulation Journal
2014 Volume.44 No. 3 p.196 ~ p.199
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An Adult Case of Tetralogy of Fallot Accompanied by Multiple Anomalies Including Multidirectional Coronary Artery Fistulas
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Lee Jae-Joong
Cho Jae-Young
Lee Yun-Ho
Lee Byung-Hyun
Park Chang-Gyu
Seo Hong-Seog
Oh Dong-Joo
Na Jin-Oh
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Abstract
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Multidirectional coronary artery fistulas (CAFs) are rare in patients with tetralogy of Fallot (TOF). We report an adult patient who underwent open-heart surgery for TOF 24 years before the discussed presentation. Coronary angiogram and cardiac computed tomography revealed multidirectional CAFs originating from the left main coronary artery and draining to the left atrium, pulmonary artery and subphrenic artery. The patient also showed additional congenital anomalies, such as persistent left superior vena cava and right-sided aortic arch.
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KEYWORD
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Tetralogy of Fallot, Arteriovenous fistula, Coronary artery
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