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A rare case of coronary fistula evaluated by first-pass radionuclide angiography

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Author(s)
Byung Wook ChoiHae Won KimKyoung Sook WonBong-Il Song
Keimyung Author(s)
Kim, Hae WonWon, Kyoung SookSong, Bong Il
Department
Dept. of Nuclear Medicine (핵의학)
Journal Title
Hellenic Journal of Nuclear Medicine
Issued Date
2016
Volume
19
Issue
2
Keyword
Coronary artery fistulaFirst-pass radionuclide angiographyCardiac multidetector computed tomographyCoronary angiography
Abstract
Coronary artery 􀀌stula (CAF) is a rare anomaly that originates from the coronary artery and drains into the
cardiac chamber or the adjacent vasculature. We report a case of CAF in a 77 years old woman with dyspnea
on exertion. Using coronary angiography and cardiac multidetector computed tomography, this
patient was diagnosed with CAF draining into the left bronchial arteries. First-pass radionuclide angiography
(FPRNA) showed early pulmonary recirculation through a left to right shunt. The pulmonary to
systemic blood 􀀺ow ratio was 1.24. The patient received supportive care with vasodilator and antiplatelet
therapy. First-pass radionuclide angiography was used to provide physiologic informations, to plan the
treatment course for this patient.
Keimyung Author(s)(Kor)
원경숙
송봉일
김해원
Publisher
School of Medicine
Citation
Byung Wook Choi et al. (2016). A rare case of coronary fistula evaluated by first-pass radionuclide angiography. Hellenic Journal of Nuclear Medicine, 19(2), 167–169. doi: 10.1967/s002449910373
Type
Article
ISSN
1790-5427
DOI
10.1967/s002449910373
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32415
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학)
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