The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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An Iatrogenic Coronary Arteriovenous Fistula Caused by Guidewire Trauma during Percutaneous Coronary Intervention

관상 동맥 중재술 중 Wire 손상에 합병되어 발생한 관상동맥루 1예

  • Oh, Se-Won (Division of Cardiology, Department of Internal Medicine, Kunkuk University Chungju Hospital, Kunkuk Uiversity College of Medicine) ;
  • Kim, Young-Joong (Division of Cardiology, Department of Internal Medicine, Kunkuk University Chungju Hospital, Kunkuk Uiversity College of Medicine) ;
  • Lim, Jong-Gu (Division of Cardiology, Department of Internal Medicine, Kunkuk University Chungju Hospital, Kunkuk Uiversity College of Medicine) ;
  • Choi, Woong-Gil (Division of Cardiology, Department of Internal Medicine, Kunkuk University Chungju Hospital, Kunkuk Uiversity College of Medicine)
  • 오세원 (건국대학교 충주병원 심장내과) ;
  • 김영중 (건국대학교 충주병원 심장내과) ;
  • 임종구 (건국대학교 충주병원 심장내과) ;
  • 최웅길 (건국대학교 충주병원 심장내과)
  • Published : 2012.03.01
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Abstract

We report the case of a 51-year-old man who presented with worsening exertional chest pain in whom subsequent percutaneous coronary intervention resulted in a coronary arteriovenous fistula. Fortunately, the patient was stable and coronary angiography revealed resolution of the fistula 20 minutes later. This case study emphasizes the management of iatrogenic coronary perforations, depending on the type and severity of perforation, which generally involves initial conservative management.

Keywords

References

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Cited by

  1. Coronary-Cameral Fistula Caused by Guidewire Trauma and Resolved by Coil Embolization vol.43, pp.4, 2012, https://doi.org/10.14503/thij-15-5177