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KMID : 0882420130840010091
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Korean Journal of Medicine
2013 Volume.84 No. 1 p.91 ~ p.95
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A Case of Acquired Coronary-Cameral Fistulae
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Ahn Jem-Ma
Lee Jae-Min
Hwang Young-Jae
Seo Young-Ho
Kim Yong-Hyun
Ahn Jeong-Cheon
Song Woo-Hyuk
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Abstract
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We report a rare case of acquired multiple coronary-cameral fistulae. A 46-year-old man presented to the cardiology department clinic complaining of recently aggravated exertional chest pain. He had been treated 10 years ago for an acute ST segment elevation myocardial infarction (STEMI) with percutaneous coronary intervention (PCI). During revascularization, diffuse multiple fistulae from the left anterior descending (LAD) artery to the left ventricle (LV) had been observed. The current chest pain was evaluated by elective coronary angiography but no significant stenosis was observed. However, newly developed diffuse fistulae from the distal right coronary artery (RCA) to LV were found during angiography, as well as LAD-LV coronary fistulae. Multiple coronary- cameral fistulae were thought to be causing chest pain. A beta-blocker was prescribed and, after 3 months of follow-up, exertional chest pain had subsided without further complication.
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KEYWORD
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Coronary vessels, Fistula, Ischemia
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