Spontaneous partial regression of coronary artery fistula following optimal medical therapy in a patient who had combined significant coronary artery spasm

Sunki Lee, Seung-Woon Rha, Hyungdon Kook, Dong Hyeok Kim, Suk Kyu Oh, Dong Hyuk Cho, Woohyeun Kim, Dong Joo Oh

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)351-355
Number of pages5
JournalKorean Circulation Journal
Volume43
Issue number5
DOIs
Publication statusPublished - 2013 May 1

Keywords

  • Arteriovenous fistula
  • Coronary artery vasospasm
  • Coronary vessel anomalies

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine

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