An Adult Case of Tetralogy of Fallot Accompanied by Multiple Anomalies Including Multidirectional Coronary Artery Fistulas
Korean Circulation Journal 2014³â 44±Ç 3È£ p.196 ~ p.199
ÀÌÀçÁß(Lee Jae-Joong) - Korea University Guro Hospital Cardiovascular Center
Á¶À翵(Cho Jae-Young) - Korea University Guro Hospital Cardiovascular Center
ÀÌ¿¬È£(Lee Yun-Ho) - Korea University Guro Hospital Cardiovascular Center
À̺´Çö(Lee Byung-Hyun) - Korea University Guro Hospital Cardiovascular Center
¹Úâ±Ô(Park Chang-Gyu) - Korea University Guro Hospital Cardiovascular Center
¼È«¼®(Seo Hong-Seog) - Korea University Guro Hospital Cardiovascular Center
¿Àµ¿ÁØ(Oh Dong-Joo) - Korea University Guro Hospital Cardiovascular Center
³ªÁø¿À(Na Jin-Oh) - Korea University Guro Hospital Cardiovascular Center
Abstract
Multidirectional coronary artery fistulas (CAFs) are rare in patients with tetralogy of Fallot (TOF). We report an adult patient who underwent open-heart surgery for TOF 24 years before the discussed presentation. Coronary angiogram and cardiac computed tomography revealed multidirectional CAFs originating from the left main coronary artery and draining to the left atrium, pulmonary artery and subphrenic artery. The patient also showed additional congenital anomalies, such as persistent left superior vena cava and right-sided aortic arch.
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Tetralogy of Fallot, Arteriovenous fistula, Coronary artery
KMID :
0368120140440030196
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