DOI QR코드

DOI QR Code

CORONARY ARTERY FISTULA DRAINING INTO THE LEFT VENTRICLE

  • Sohn, Jihyun (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Song, Jong-Min (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jang, Jeong Yoon (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Sun, Byung Joo (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Dae-Hee (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kang, Duk-Hyun (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Song, Jae-Kwan (Division of Cardiology, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2013.07.19
  • Accepted : 2014.02.18
  • Published : 2014.03.27

Abstract

We present a case of 48-year-old male who presented with coronary artery fistula draining into left ventricle. Transthoracic echocardiography showed abnormal blood flow draining into left ventricle, with enlarged coronary arteries and multiple vascular structures around ventricular myocardium. Coronary computed tomography revealed dilatation of entire left coronary artery which was wrapping around left ventricle, and draining into the posterior side of left ventricle. He did not undergo any invasive treatment, because he was not symptomatic.

Keywords

References

  1. Ata Y, Turk T, Bicer M, Yalcin M, Ata F, Yavuz S. Coronary arteriovenous fistulas in the adults: natural history and management strategies. J Cardiothorac Surg 2009;4:62. https://doi.org/10.1186/1749-8090-4-62
  2. Fernandes ED, Kadivar H, Hallman GL, Reul GJ, Ott DA, Cooley DA. Congenital malformations of the coronary arteries: the Texas Heart Institute experience. Ann Thorac Surg 1992;54:732-40. https://doi.org/10.1016/0003-4975(92)91019-6
  3. Sommer RJ, Hijazi ZM, Rhodes JF Jr. Pathophysiology of congenital heart disease in the adult: part I: Shunt lesions. Circulation 2008;117:1090-9. https://doi.org/10.1161/CIRCULATIONAHA.107.714402
  4. Mangukia CV. Coronary artery fistula. Ann Thorac Surg 2012;93:2084-92. https://doi.org/10.1016/j.athoracsur.2012.01.114
  5. Mohanty SK, Ramanathan KR, Banakal S, Muralidhar K, Kumar P. An interesting case of coronary cameral fistula. Ann Card Anaesth 2005;8:152-4.
  6. Roberts WC. Major anomalies of coronary arterial origin seen in adulthood. Am Heart J 1986;111:941-63. https://doi.org/10.1016/0002-8703(86)90646-0
  7. Vavuranakis M, Bush CA, Boudoulas H. Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history. Cathet Cardiovasc Diagn 1995;35:116-20. https://doi.org/10.1002/ccd.1810350207
  8. Stierle U, Giannitsis E, Sheikhzadeh A, Potratz J. Myocardial ischemia in generalized coronary artery-left ventricular microfistulae. Int J Cardiol 1998;63:47-52. https://doi.org/10.1016/S0167-5273(97)00280-5
  9. Valente AM, Lock JE, Gauvreau K, Rodriguez-Huertas E, Joyce C, Armsby L, Bacha EA, Landzberg MJ. Predictors of long-term adverse outcomes in patients with congenital coronary artery fistulae. Circ Cardiovasc Interv 2010;3:134-9. https://doi.org/10.1161/CIRCINTERVENTIONS.109.883884
  10. Schumacher G, Roithmaier A, Lorenz HP, Meisner H, Sauer U, Muller KD, Sebening F, Buhlmeyer K. Congenital coronary artery fistula in infancy and childhood: diagnostic and therapeutic aspects. Thorac Cardiovasc Surg 1997;45:287-94. https://doi.org/10.1055/s-2007-1013751

Cited by

  1. Isolated right ventricular hypoplasia caused by giant aneurysm of right coronary artery to left ventricle fistula in an adult: a case report vol.11, pp.None, 2014, https://doi.org/10.1186/s13019-016-0494-z
  2. A Coronary Artery-left Ventricular Fistula through the Sinusoid vol.60, pp.23, 2014, https://doi.org/10.2169/internalmedicine.7454-21