Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm

  • Lee, Sunki (Cardiovascular Center, Korea University Guro Hospital) ;
  • Rha, Seung-Woon (Cardiovascular Center, Korea University Guro Hospital) ;
  • Kook, Hyungdon (Cardiovascular Center, Korea University Guro Hospital) ;
  • Kim, Dong Hyeok (Cardiovascular Center, Korea University Guro Hospital) ;
  • Oh, Suk-Kyu (Cardiovascular Center, Korea University Guro Hospital) ;
  • Cho, Dong Hyuk (Cardiovascular Center, Korea University Guro Hospital) ;
  • Kim, Woohyeun (Cardiovascular Center, Korea University Guro Hospital) ;
  • Oh, Dong Joo (Cardiovascular Center, Korea University Guro Hospital)
  • Published : 2013.05.30
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Abstract

Coronary artery fistulas (CAFs) are one of the most rare cardiac anomalies. Some patients with CAF may suffer from ischemic chest pain that originates from combined significant coronary artery spasm (CAS). Spontaneous regression of CAF has been reported in a few cases, almost all of which were infants. We report an adult patient who presented with ischemic chest pain due to multiple coronary arteries to pulmonary artery fistulas and combined significant CAS induced by intracoronary acetylcholine provocation test. Spontaneous regression of one of the fistulas was observed at 2-year angiography follow-up.

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References

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