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KMID : 0371620020170010079
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Journal of Wonkwang Medical Science
2002 Volume.17 No. 1 p.79 ~ p.84
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A Case of Bilateral Coronary Arteriovenous Fistula
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Choi Yong-Won
Oh Seok-Kyu
Lee Jae-Hoon
Rhee Sang-Jae
Kweon Kyoung-Hee
Choi Eun-Kyung
Kim Nam-Ho
Jeong Jin-Won
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Abstract
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A coronary arteriovenous fistula is infrequently encountered vascular communication between a coronary artery and a cardiac chamber, a great artery or the vena cava. It is the most common congenital anomaly that can affect coronary perfusion. Bilateral involvement of coronary fistula constitutes an uncommon subgroup of coronary arteriovenous fistulas. A 69 year-old female patient presented with chest discomfort, palpitation, and dyspnea. In the echocardiography, doppler color flow imaging visualized abnormal flow signals with mosaic appearance in the main pulmonary artery during diastolic phase. Coronary angiography revealed arteriovenous fistula arising from the left anterior descending artery and the right coronary artery. Both coronary arteriovenous fistulas drained into the main pulmonary artery. We report a case of bilateral coronary arteriovenous fistula that was confirmed by echocariography and coronary angiography.
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KEYWORD
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Coronary Arteriovenous Fistula, Congenital Anomalv
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