Multiple coronary arteriovenous fistulae combined with ventricular septal defect: a case report.

Abstract

Congenital coronary arteriovenous fistulas are all of those anomalies and malformations that result in a direct communication of a coronary artery and/or any of its branches with a cardiac chamber or ex-tracardiac vessel resulting in a shunt of varying pro-portions. The majority of these firstulas form an A-V connection between a coronary artery and the right heart chambers, and rarely their is communication with the left heart chambers. In most reported cases, the abnormal fistula in-volves only one coronary artery which developed alone. This report describes a unique case in which multi-ple coronary fistulas associated with VSD were en-countered.

선천성 광상동맥루는 매우 드문 심질환으로서, 국내에서도 몇 예가 보고된 바가 있으나(1,2) 다발성 관상 동맥루는 보고된 바가 없으며 세계적으로도 희귀한 증례이다. 최근 저자들은 53세의 여자에서 우측 관상동맥이 좌심실과, 그리고 좌측 만곡 관상동맥이 우심실과 연결된 다발성 관상동맥루와 동반된 심실중격 결손증 1예를 경험하였기에 보고하는 바이다.