A case of congenital bilateral coronary-to-right ventricle fistula coexisting with variant angina.
A coronary arteriovenous (AV) fistula consists of a communication between a coronary artery and a cardiac chamber, a great artery or the vena cava. It is the most common anomaly that can affect coronary perfusion. Yet bilateral involvement of a coronary fistula, constitutes an uncommon subgroup of coronary AV fistulas. We herein report on a case of bilateral coronary AV fistula that was coexistent with variant angina originating from the distal right ventricular branch of the right coronary artery and the distal septal branch of the left anterior descending artery, and the latter drained into the right ventricle.
Jang
Se Na
SN
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Her
Sung Ho
SH
Do
Kyong Rock
KR
Kim
Joon Sung
JS
Yoon
Hee Jeong
HJ
Lee
Jong Min
JM
Jin
Seung Won
SW
D000788:Angina Pectoris, Variant / Q000000981:diagnostic imaging / Q000209:etiology*; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008875:Middle Aged; D011859:Radiography; D016157:Vascular Fistula / Q000150:complications / Q000151:congenital* / Q000175:diagnosis*