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Angiology
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Bilateral Coronary Artery Fistulas Communicating With Main Pulmonary Artery and Left Ventricle

Case Report

Won Seok Cheon, MD

Cardiology Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea

Eung Ju Kim, MD

Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea, withnoel{at}empal.com

Seong Hwan Kim, MD

Cardiology Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea

Young Jin Choi, MD

Cardiology Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea

Chong Yun Rhim, MD

Cardiology Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea

Coronary artery fistula is an uncommon congenital malformation that generally drains into the main pulmonary artery or the right side of the heart. This is a case report on bilateral coronary artery fistulas communicating with the main pulmonary artery and the left ventricle. A 65-year-old woman was investigated for recurrent chest pain. Coronary angiography revealed this anomalous coronary artery connection without evidence of atherosclerotic coronary artery disease. The rarity of coronary artery fistulas involving both the main pulmonary artery and the left ventricle is emphasized.

Angiology, Vol. 58, No. 1, 118-121 (2007)
DOI: 10.1177/0003319706292572
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