Journal List > Korean Circ J > v.32(2) > 1074308

Lee, Lee, Kim, Cho, Shin, Choi, Lee, Lee, Kim, Kim, Lim, Lee, and Lee: Four Cases of Management of Congenital Coronary Arteriovenous Fistula


Four cases of congenital coronary arteriovenous fistula were diagnosed using coronary angiography. Three cases had fistula-related chest pain and the remaining case showed no symptoms but displayed electrocardiographic changes suggesting myocardial ischemia. As he was elderly and had a potential for future complications, we decided to close the fistulas of all cases. Three cases were closed with transcatheter coil embolization and one with surgical ligation due to a suspicious accompanying pericardial cyst. None of the patients demonstrated periprocedural or perioperative complications and all were relieved from symptoms during the 2 year follow-up period. We concluded that transcatheter coil embolization and surgical ligation are effective methods for use in the management of coronary arteriovenous fistula.

Similar articles