J Korean Radiol Soc.  1986 Dec;22(6):1083-1086. 10.3348/jkrs.1986.22.6.1083.

Congenital coronary artery fistula

• Oh YH
• Kim H
• Zeon S
• Suh SJ

• KMID: 2462263
• DOI: http://doi.org/10.3348/jkrs.1986.22.6.1083

Abstract

Congenital coronary artery fistula(CCAF) is communication of a coronary artery or its main branch with one ofthe atria or ventricles, the coronary sinus, the superior vena cave, or the pulmoanry artery. In Korean peoples,only 4 cases of the CCAF were reported as rare as worldwide and authors want to report another case of CCAF,confirmed by operation. 10-years-old girl shows a fistula between sinus node artery of the right coronary arteryand right atrium on root aortogram with left-to-right shunt and Qp/Qs=1.58, in which simple ligation of the originof the sinus node atery from right coronary artery was performed. All of the 5 Korean CCAF(4 were previouslyreported and 1 of authors) were originated from right coronary artery, and of which 4 weee opening into rightventricle and 1 of authors were into right atrium. Associated cardiac anomaly was noted in only 1 case as singlecoronary artery, Ages were from 9 months of age to 10 years old and no adult left case were found. 3 were femaleand 2 were male patients.

MeSH Terms

Adult
Arteries
Coronary Sinus
Coronary Vessels*
Female
Fistula*
Heart Atria
Humans
Ligation
Male
Sinoatrial Node