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KMID : 0357820110350020174
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Korean Journal of Legal Medicine
2011 Volume.35 No. 2 p.174 ~ p.178
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Sudden Death Related to Left Anterior Descending Coronary Artery Fistula Draining to the Left Ventricle: A Case Report with Review of the Literature
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Cheong Ha-Rin
Kyeong Hee-Eun
Kim Jun-Mo
Choi Byung-Ha
Chung Nak-Eun
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Abstract
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Coronary artery fistula (CAF) is a rare congenital malformation, comprising less than 1% of all congenital heart disease. Most fistulas drain into the right-sided heart chambers or pulmonary artery, and termination in left heart chambers is an uncommon finding. Clinical presentation mainly depends on the severity of the left-to-right shunt, and adult patients usually do not develop any symptom. There are few case reports relating CAF manifested as an exceptional form of sudden unexpected death. We experienced a case of a 62-year-old male with a single CAF arising from left main coronary artery which drains into the left ventricle, and reported with review of the related articles.
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KEYWORD
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coronary artery fistula, sudden death, cardiac hypertrophy, myocardial fibrosis
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