Korean Circ J.  1997 Jun;27(6):652-657. 10.4070/kcj.1997.27.6.652.

A Case of Coronary Arteriovenous Fistula Confirmed by Echocardiography

• Jang JE
• Shin WS
• Kim KS
• Han SW
• Shin KM
• Hur SH
• Kim YN
• Kim KB

• KMID: 1938626
• DOI: http://doi.org/10.4070/kcj.1997.27.6.652

Abstract

Coronary arteriovenous fistula is relatively rare disease and originates more commonly in the right than in the left cononary artery. We report one case of cononary arteriovrnous fistula which we have experienced recently in 22 years old female, who has complained of dyspnea on exertion and intermittent anterior chest pain radiating to the left shoulder for several years. It was detected by transthoracic and transesophageal echocardiography and confirmed by cardiac catheterization and coronary angiography. In this case, the fistula was originated from the right coronary artery and drained into the posterior wall of the right ventricle, the coronary artery was dilated(diameter=1.5cm) and tortuous and significant shunt was measured(Qp/Qs=2.31). The opening of the fistula draining into right ventricle was obliterated with sutures.

Keyword

Coronary arteriovenous fistula; transthoracic echocardiography; transesophageal echocardiography; coronary angiography

MeSH Terms

Arteries
Arteriovenous Fistula*
Cardiac Catheterization
Cardiac Catheters
Chest Pain
Coronary Angiography
Coronary Vessels
Dyspnea
Echocardiography*
Echocardiography, Transesophageal
Female
Fistula
Heart Ventricles
Humans
Rare Diseases
Shoulder
Sutures
Young Adult