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An Adult Case of Tetralogy of Fallot Accompanied by Multiple Anomalies Including Multidirectional Coronary Artery Fistulas

Authors
Lee, Jae JoongCho, Jae YoungLee, Yun HoLee, Byung HyunPark, Chang GyuSeo, Hong SeogOh, Dong JooNa, Jin Oh
Issue Date
May-2014
Publisher
KOREAN SOC CARDIOLOGY
Keywords
Tetralogy of Fallot; Arteriovenous fistula; Coronary artery
Citation
KOREAN CIRCULATION JOURNAL, v.44, no.3, pp.196 - 199
Indexed
SCIE
SCOPUS
KCI
Journal Title
KOREAN CIRCULATION JOURNAL
Volume
44
Number
3
Start Page
196
End Page
199
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/98724
DOI
10.4070/kcj.2014.44.3.196
ISSN
1738-5520
Abstract
Multidirectional coronary artery fistulas (CAFs) are rare in patients with tetralogy of Fallot (TOF). We report an adult patient who underwent open-heart surgery for TOF 24 years before the discussed presentation. Coronary angiogram and cardiac computed tomography revealed multidirectional CAFs originating from the left main coronary artery and draining to the left atrium, pulmonary artery and subphrenic artery. The patient also showed additional congenital anomalies, such as persistent left superior vena cava and right-sided aortic arch.
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