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Abstract
In a 21-year-old man who complained of chest tightness was evaluated due to continuous murmur at the left midsternal border radiating to the right. Coronary artery fistula was diagnosed by transthoracic and transesophageal echocardiography. This anomaly was corfirmed by selective angiography. In this case, coronary artery fistula was acurately diagnosed by echocardiography including fistula opening, feeding artery and draining site.
References
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Fig. 1.
Transhthoracic echocardiography. Parasternal long axis view(A) show abnormal vascular space(arrow) between left artium and aorta. Modification of parasternal short axis veiw(B, C) represent dilated left main coronary artery and coronary artery fistala draining into the right atrium.
Fig. 2.
Transesophageal echocardiography. Transverse scan(A, B) represent the coronary artery fistula(arrows) originating form the dilated left main coronary artery and passing through the space between left atrium and aorta. Longitudinal scan(C) represent the shunt flow drainging into the right atrium.
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