Korean Circ J.  1997 Sep;27(9):900-906. 10.4070/kcj.1997.27.9.900.

Clincal Charateristics of Coronary Arteriovenous Fistula in Korean Adults

• Kim MS
• Ahn YK
• Bae Y
• Park JH
• Jeong MH
• Cho JG
• Park JC
• Kang JC

• KMID: 2229074
• DOI: http://doi.org/10.4070/kcj.1997.27.9.900

Abstract

BACKGROUND
Coronary arterioveonus fistula(CAVf) is a rare congerital coronary artery anomaly in adults. CAVF is related with some clinincal significances, such as angina, congestive heart failure and bacterial endocarditis. METHOD: We analyzed clincial characteristics in 10 patients(mean age=52.1 +/- 12.5 year) of adult CAVF, who were diagnosed as CAVF by coronary angiogram from Jan. 1993 to Mar. 1997 in Chonnam University Hosptial.
RESULTS
Five out of 10 patients complained of chest pain, four had dyspnea and one had hemoptysis. In seven patients, arteries of CAVF were originated from left coronary arteries, from right coronary artery in one, and from both coronary arteries in two. CAVF was drained into pulmonary artery in six patients, right ventricle in two, right atrium in one, and left ventricle in one.
CONCLUSION
Chest pain and dyspnea are common in symptomatic patients with CAVF are originated most commonly from left coronary arteries and drained into pulomonary arteries in Korean adults.

Keyword

Coronary arteriovenous fistula; Chest pain; Dyspnea; Pulmonary artery

MeSH Terms

Adult*
Arteries
Arteriovenous Fistula*
Chest Pain
Coronary Vessels
Dyspnea
Endocarditis, Bacterial
Heart Atria
Heart Failure
Heart Ventricles
Hemoptysis
Humans
Jeollanam-do
Pulmonary Artery