J Korean Radiol Soc.  1987 Oct;23(5):736-742. 10.3348/jkrs.1987.23.5.736.

Radiologic findings of coronary A-V fistula

• Ahn IO
• Kim IO
• Yeon KM
• Han MC
• Yoon YS
• Suh CH

• KMID: 2359395
• DOI: http://doi.org/10.3348/jkrs.1987.23.5.736

Abstract

8 cases of congenital coronary artery fistula of child age group, diagnosed by cineangiography and confirmedby operation at Seoul National University Hospital in recent 9 years were analysed. The summaries are as follows:1. The overal incidence was 0.18% of those who underwent cardiac cineangiography(8/4460). 2. Age distribution wasfrom 3 months to 14 years(mean was 5.6 years). Male to female was 4:4. 3. Important physical findings werecontinuous murmur (7/8) and ischemic change in EKG (3/8). 4. Chest X-ray findings were non-specific but mildcardiomegaly(6/7) and normal pulmonary vascularity (5/7). 5. In cinecardiography, origin of coronary arteryfistula was right in 5 case, left in 1 case and single left coronary artery in 1 case. Draining sites were rightatrium (3), right ventricle(2), pulmonary artery(1) and left ventricle (1). 6. A ssociated anomalies were singlecoronary artery in 1 case, ASD in 1 case and VSD in 1 case. 7. For accurate diagnosis of congenital coronaryartery fistula, bioplane cineangiography is an essential procedure (Root aortography or selective coronaryangiography).

MeSH Terms

Age Distribution
Aortography
Arteries
Child
Cineangiography
Coronary Vessels
Diagnosis
Electrocardiography
Female
Fistula*
Heart Ventricles
Humans
Incidence
Male
Seoul
Thorax