Korean Circ J.  1987 Sep;17(3):593-597. 10.4070/kcj.1987.17.3.593.

A Case Report of a 63 Year Old Lady With Coronary Arteriovenous Fistula Involving Left Coronary Artery and Draining Into Pulmonary Artery

• In KH
• Shim JC
• Yu JM
• Park JE
• Kim HJ

• KMID: 2093228
• DOI: http://doi.org/10.4070/kcj.1987.17.3.593

Abstract

A 63 Year-old-lady has had substernal chest pain on exertion for 8 years. The chest pain has been increased over the last 3 years. A continuous murmur was heard at the left second to third inercostal spaces along the left sternal border. The electrocardiogram showed the inverted T-waves in the precordial leads. The right heart catheterization revealed 5% oxygen step up between RV and PA. The right sided pressures were normal. The coronary arteriography revealed markedly tortuous vessels starting shortly after the left main stem coronary artery was normally originated. One of the large vessel was shown to be drained into the pulmonary artery. In the operation room, without using heart-lung machine this abnormally drained vessel was simply ligated at it's draining site into pulmonary artery. After the operation the patient is feeling well with little symptoms and the continuous murmur is no longer heard.

MeSH Terms

Angiography
Arteriovenous Fistula*
Cardiac Catheterization
Cardiac Catheters
Chest Pain
Coronary Vessels*
Electrocardiography
Heart-Lung Machine
Humans
Middle Aged*
Oxygen
Pulmonary Artery*
Oxygen