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    > 학회지 검색 >>  2011
  [2011] 15. Harin Cheong, Hee Eun Kyeong, Jun Mo Kim, Byung Ha Choi, Nak-Eun Chung
  Poster :      Date : 11-11-29 23:43     Hit : 1269    
  Publication; issue :  2011 Year  35 Vol  2 iss  174 p
   (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.

 

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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