Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm

Coronary artery fistulas (CAFs) are one of the most rare cardiac anomalies. Some patients with CAF may suffer from ischemic chest pain that originates from combined significant coronary artery spasm (CAS). Spontaneous regression of CAF has been reported in a few cases, almost all of which were infan...

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Autores principales: Lee, Sunki, Rha, Seung-Woon, Kook, Hyungdon, Kim, Dong Hyeok, Oh, Suk-kyu, Cho, Dong Hyuk, Kim, Woohyeun, Oh, Dong Joo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3675312/
https://www.ncbi.nlm.nih.gov/pubmed/23755084
http://dx.doi.org/10.4070/kcj.2013.43.5.351
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author Lee, Sunki
Rha, Seung-Woon
Kook, Hyungdon
Kim, Dong Hyeok
Oh, Suk-kyu
Cho, Dong Hyuk
Kim, Woohyeun
Oh, Dong Joo
author_facet Lee, Sunki
Rha, Seung-Woon
Kook, Hyungdon
Kim, Dong Hyeok
Oh, Suk-kyu
Cho, Dong Hyuk
Kim, Woohyeun
Oh, Dong Joo
author_sort Lee, Sunki
collection PubMed
description Coronary artery fistulas (CAFs) are one of the most rare cardiac anomalies. Some patients with CAF may suffer from ischemic chest pain that originates from combined significant coronary artery spasm (CAS). Spontaneous regression of CAF has been reported in a few cases, almost all of which were infants. We report an adult patient who presented with ischemic chest pain due to multiple coronary arteries to pulmonary artery fistulas and combined significant CAS induced by intracoronary acetylcholine provocation test. Spontaneous regression of one of the fistulas was observed at 2-year angiography follow-up.
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spelling pubmed-36753122013-06-10 Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm Lee, Sunki Rha, Seung-Woon Kook, Hyungdon Kim, Dong Hyeok Oh, Suk-kyu Cho, Dong Hyuk Kim, Woohyeun Oh, Dong Joo Korean Circ J Case Report Coronary artery fistulas (CAFs) are one of the most rare cardiac anomalies. Some patients with CAF may suffer from ischemic chest pain that originates from combined significant coronary artery spasm (CAS). Spontaneous regression of CAF has been reported in a few cases, almost all of which were infants. We report an adult patient who presented with ischemic chest pain due to multiple coronary arteries to pulmonary artery fistulas and combined significant CAS induced by intracoronary acetylcholine provocation test. Spontaneous regression of one of the fistulas was observed at 2-year angiography follow-up. The Korean Society of Cardiology 2013-05 2013-05-31 /pmc/articles/PMC3675312/ /pubmed/23755084 http://dx.doi.org/10.4070/kcj.2013.43.5.351 Text en Copyright © 2013 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Sunki
Rha, Seung-Woon
Kook, Hyungdon
Kim, Dong Hyeok
Oh, Suk-kyu
Cho, Dong Hyuk
Kim, Woohyeun
Oh, Dong Joo
Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm
title Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm
title_full Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm
title_fullStr Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm
title_full_unstemmed Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm
title_short Spontaneous Partial Regression of Coronary Artery Fistula Following Optimal Medical Therapy in a Patient Who Had Combined Significant Coronary Artery Spasm
title_sort spontaneous partial regression of coronary artery fistula following optimal medical therapy in a patient who had combined significant coronary artery spasm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3675312/
https://www.ncbi.nlm.nih.gov/pubmed/23755084
http://dx.doi.org/10.4070/kcj.2013.43.5.351
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