Korean Circulation Journal

  • 제42권11호
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  • Pages.792-795
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  • 2012
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  • 1738-5520(pISSN)
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  • 1738-5555(eISSN)
대한심장학회 (The Korean Society of Cardiology)
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Congenital Giant Right Coronary Artery Aneurysm With Fistula to the Coronary Sinus and Persistent Left Superior Vena Cava in an Old Woman

  • Lee, Soo-Yong (Department of Internal Medicine, Pusan National University Yangsan Hospital) ;
  • Park, Yong Hyun (Department of Internal Medicine, Pusan National University Yangsan Hospital) ;
  • Yeo, Hye-Ju (Department of Internal Medicine, Pusan National University Yangsan Hospital) ;
  • Sohn, Chang-Bae (Department of Internal Medicine, Pusan National University Yangsan Hospital) ;
  • Han, Dong-Cheul (Department of Internal Medicine, Pusan National University Yangsan Hospital) ;
  • Kim, Jeong Su (Department of Internal Medicine, Pusan National University Yangsan Hospital) ;
  • Kim, Jun (Department of Internal Medicine, Pusan National University Yangsan Hospital) ;
  • Kim, June-Hong (Department of Internal Medicine, Pusan National University Yangsan Hospital) ;
  • Chun, Kook-Jin (Department of Internal Medicine, Pusan National University Yangsan Hospital)
  • 발행 : 2012.11.30
⟨ 이전 논문 다음 논문 ⟩

초록

The combination of coronary arteriovenous fistula to the coronary sinus (CS), dilatation of the entire length of coronary artery, coronary aneurysm and persistent left superior vena cava (PLSVC) is very rare. We present the case of a 63-year-old female admitted for dyspnea on exertion, orthopnea, and facial edema. Echocardiography detected a giant coronary artery with shunt flow, dilated CS and PLSVC and a coronary angiography reaffirmed these findings. The calculated ratio of pulmonary blood flow to systemic blood flow by cardiac catheterization was 1.53. After multidisciplinary review considering old age, hypoactivity due to underlying Parkinsonism and relatively small amount of shunt flow, medical therapy was chosen. The patient remained asymptomatic for 10 months after discharge without intervention.

키워드

참고문헌

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피인용 문헌

  1. Percutaneous closure of right coronary to superior vena cava fistula vol.15, pp.3, 2012, https://doi.org/10.2217/fca-2018-0056