Korean Circ J.  1992 Oct;22(5):882-889. 10.4070/kcj.1992.22.5.882.

A Case Report of Coronary Arteriovenous Fistula Diagnosed by Two-Dimensional and Transesophageal Echocardiography

• Hong SW
• Kim DH
• Jeon IM
• Cheong BH
• Jeong JW
• Park YK
• Park OK
• Choi JB
• Choi SH

• KMID: 1894910
• DOI: http://doi.org/10.4070/kcj.1992.22.5.882

Abstract

Since coronary arteriovenous fistula(CAVF) was first reported by Krause in 1865, more than 400 cases have been reported. It is relatively rare disease and originates more commonly in the right than in the left coronary artery. We report a case of CAVF between right coronary artery and right ventricular inflow tract with significant left to right shunt in a 34-year old female who was admitted for the cardiomegaly on routine chest X-Ray. It was detected by transthoracic and transesophageal echocardiography, and confirmed by cardiac catheterization and coronary angiography. The opening of the fistula draining into the right ventricle was obliterated with sutures. There was no significant shunt in postoperative cardiac catheterization and coronary angiography.

Keyword

Coronary arteriovenous fistula; Two-dimensional echocardiography; Transesophageal echocardiography

MeSH Terms

Adult
Arteriovenous Fistula*
Cardiac Catheterization
Cardiac Catheters
Cardiomegaly
Coronary Angiography
Coronary Vessels
Echocardiography
Echocardiography, Transesophageal*
Female
Fistula
Heart Ventricles
Humans
Rare Diseases
Sutures
Thorax