Korean Journal of Pediatrics 2008;51(10):1118-1122.
Published online October 15, 2008.
Coronary artery fistula associated with single coronary artery
Seong Man Kim1, Min Seob Song2, Kwang Hyun Cho3, Chul Ho Kim1
1Department of Cardiology, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea
2Department of Pediatrics, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea
3Department of Cardiothoracic Surgery, College of Medicine, Inje University, Busan Paik Hosital, Busan, Korea
단일관상동맥 동정맥루 1예
김성만1, 송민섭2, 조광현3, 김철호1
1인제대학교 의과대학 심장내과학교실
2인제대학교 의과대학 소아과학교실
3인제대학교 의과대학 흉부외과학교실
Correspondence: 
Min Seob Song, Email: msped@hanmail.net
Abstract
A case of a single coronary artery complicated with a coronary artery fistula (CAF) to the right ventricle is extremely rare, and its management strategy and prognosis are not clear. A 5-year-old boy was hospitalized for evaluation of a continuous heart murmur. Transthoracic echocardiography suggested a CAF to the right ventricle, with an enlarged left coronary artery. Cardiac catheterization confirmed the CAF terminating at the right ventricle and the absence of a right coronary artery. The fistula was ligated at the right ventricular side under cardiopulmonary bypass. At follow-up 18 months later, the child was clinically asymptomatic, and coronary angiogram showed no recurrence of the fistula.
Key Words: Coronary vessel anomalies, Arteriovenous fistula, Child, Cardiac surgery


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