Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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An Adult Case of Tetralogy of Fallot Accompanied by Multiple Anomalies Including Multidirectional Coronary Artery Fistulas

  • Lee, Jae Joong (Cardiovascular Center, Korea University Guro Hospital) ;
  • Cho, Jae Young (Cardiovascular Center, Korea University Guro Hospital) ;
  • Lee, Yun Ho (Cardiovascular Center, Korea University Guro Hospital) ;
  • Lee, Byung Hyun (Cardiovascular Center, Korea University Guro Hospital) ;
  • Park, Chang Gyu (Cardiovascular Center, Korea University Guro Hospital) ;
  • Seo, Hong Seog (Cardiovascular Center, Korea University Guro Hospital) ;
  • Oh, Dong Joo (Cardiovascular Center, Korea University Guro Hospital) ;
  • Na, Jin Oh (Cardiovascular Center, Korea University Guro Hospital)
  • Received : 2013.09.08
  • Accepted : 2013.10.15
  • Published : 2014.03.30
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Abstract

Multidirectional coronary artery fistulas (CAFs) are rare in patients with tetralogy of Fallot (TOF). We report an adult patient who underwent open-heart surgery for TOF 24 years before the discussed presentation. Coronary angiogram and cardiac computed tomography revealed multidirectional CAFs originating from the left main coronary artery and draining to the left atrium, pulmonary artery and subphrenic artery. The patient also showed additional congenital anomalies, such as persistent left superior vena cava and right-sided aortic arch.

Keywords

References

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Cited by

  1. Right Coronary Artery to Pulmonary Arterial Fistula Associated With Tetralogy of Fallot : A Case Report and Review of Literature vol.6, pp.4, 2014, https://doi.org/10.1177/2150135115581385