Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Severe Form of Persistent Thebesian Veins Presenting as Ischemic Heart Disease

  • Jung, Younghee (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Kim, Hyun-Jin (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Yoon, Chang-Hwan (Department of Internal Medicine, Seoul National University Bundang Hospital)
  • Published : 2012.10.31
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Abstract

Coronary artery fistula is a rare congenital anomaly. Most patients with this anomaly are asymptomatic, but some may develop heart failure, myocardial ischemia or arrhythmias. We report a case of a patient who presented with myocardial ischemia secondary to persistent Thebesian veins. Coronary angiography demonstrated a marked capillary blush draining into the left ventricular cavity through multiple microfistulae from the left anterior descending artery, left circumflex artery and right coronary artery. The patient was discharged without chest pain and was medically maintained with a beta-blocker and angiotensin converting enzyme inhibitor.

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References

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  2. A significant ‘coronary steal’ by thebesian veins, a rare congenital coronary defect masquerading as acute coronary syndrome vol.2015, pp.None, 2012, https://doi.org/10.1136/bcr-2014-208880
  3. Coronary cameral fistula in an asymptomatic young female presenting with dynamic ST-T changes vol.7, pp.1, 2012, https://doi.org/10.1016/j.injms.2015.10.001
  4. Prominent Thebesian veins, a rare congenital coronary anomaly presenting as acute myocardial ischemia vol.21, pp.4, 2012, https://doi.org/10.1016/j.jccase.2019.11.007
  5. Response by Kim et al. to Letter regarding article, “Prominent Thebesian veins, a rare congenital coronary anomaly presenting as acute myocardial ischemia” vol.22, pp.3, 2012, https://doi.org/10.1016/j.jccase.2020.05.023