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관상동맥루의 임상적 고찰

Other Titles
 Clinical Evaluation of Coronary Artery Fistula 
 이삭  ;  박영환  ;  박한기  ;  임상현  ;  홍유선  ;  장병철  ;  강면식  ;  조범구 
 Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.38(10) : 699-704, 2005 
Journal Title
 Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지) 
Issue Date
Coronary artery fistula ; Congenital heart disease (CHD) ; Fistula
Coronary artery fistula ; Congenital heart disease (CHD) ; Fistula
Background: Coronary artery fistula is rare congenital anomaly, which account for 0.27∼0.40% of all congenital heart diseases. We report the clinical observations of 45 patients with coronary artery fistula. Material and Method: We reviewed all patients presented with or without symptoms of coronary artery fistula between 1987 and 2004. Age ranged from 1 to 83 years. Twenty-six patients were female. The patients were divided into 2 groups according to the presenting symptoms. Twelve patients were in group A (asymptomatic) and 33 patients in group B (symptomatic). The most common clinical presentation in group B was angina (18) followed by dyspnea (7), atypical chest pain (5), syncope (1), fatigue (1), and palpitation (1). Twenty-five patients were associated with other cardiac diseases, which were atrial septal defect (4), coronary artery occlusive disease (6), hypertension (12), and valvular heart disease (2). Result: Patients were followed-up for a mean period of 64.8±62.7 months. There was no complication related to coronary artery fistula during the follow-up period in both group. There was no mortality related to coronary artery fistula. Conclusion: In symptomatic patients, early surgical treatment is recommended considering the low perioperative morbidity. In asymptomatic patients receiving medical treatment, close follow up may be necessary.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Meyun Shick(강면식)
Park, Young Hwan(박영환)
Park, Han Ki(박한기) ORCID logo https://orcid.org/0000-0002-7472-7822
Lee, Sak(이삭) ORCID logo https://orcid.org/0000-0001-6130-2342
Lim, Sang Hyun(임상현)
Chang, Byung Chul(장병철)
Cho, Bum Koo(조범구)
Hong, You Sun(홍유선)
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