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[2011] 15. Harin Cheong, Hee Eun Kyeong, Jun Mo Kim, Byung Ha Choi, Nak-Eun Chung |
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Poster :
Date : 11-11-29 23:43
Hit : 1389
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Publication; issue : 2011 Year 35 Vol 2 iss 174 p
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(318.1K), Down : 90, 2011-11-29 23:43:14 | |
Sudden Death Related to Left Anterior Descending Coronary Artery Fistula Draining to the Left Ventricle: A Case Report with Review of the Literature
Korean J Leg Med. 2011 Nov;35(2):174-178. English.
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Division of Forensic Medicine, National Forensic Service, Seoul, Korea. damian21@korea.kr
Coronary artery fistula (CAF) is a rare congenital malformation, comprising less than 1% of all congenital heart disease. Most fistulas drain into the right-sided heart chambers or pulmonary artery, and termination in left heart chambers is an uncommon finding. Clinical presentation mainly depends on the severity of the left-to-right shunt, and adult patients usually do not develop any symptom. There are few case reports relating CAF manifested as an exceptional form of sudden unexpected death. We experienced a case of a 62-year-old male with a single CAF arising from left main coronary artery which drains into the left ventricle, and reported with review of the related articles.
Key words : coronary artery fistula, sudden death, cardiac hypertrophy, myocardial fibrosis
Case report
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