Korean J Med.
2006 Jan;70(1):90-93.
A case of coronary arteriovenous malformation in variant angina patient
- Affiliations
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- 1Cardiovascular Center, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. parkcg@kumc.or.kr
Abstract
- Coronary arteriovenous malformation (AVM) is a rare congenital coronary anomaly. We report a 60 year-old woman with variant angina and coronary AVM. She presented with recurrent chest pain at rest but there were no significant cardiovascular risk factors. Baseline coronary angiography showed the AVM which originated from first diagonal branch. Acetylcholine (Ach) provocation test was performed at left anterior descending artery (LAD) to induce coronary spasm. Ach 50 microgram injection induced severe diffuse spasm at LAD with typical chest pain. We confirmed that this patient has variant angina with AV malformation.
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