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Two‐dimensional and Doppler echocardiographic features of coronary arteriovenous fistula. Report of three cases.
Author(s) -
Fang B R,
Chiang C W,
Lin F C,
Lee Y S,
Chang C H
Publication year - 1990
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.1990.9.1.39
Subject(s) - medicine , cardiology , right coronary artery , ventricle , lumen (anatomy) , artery , doppler effect , pulmonary artery , pulmonary trunk , arteriovenous fistula , fistula , diastole , circumflex , radiology , angiography , coronary angiography , blood pressure , myocardial infarction , physics , astronomy
Two‐dimensional (2‐D) and Doppler echocardiographic features of three cases of coronary arteriovenous fistula (CAVF) were analyzed. The final diagnosis was confirmed by coronary angiography in each case. In cases 1 and 2, the CAVF arose from the right coronary artery and drained into the right atrium and right ventricle, respectively. The origin and draining site of the CAVF could be visualized by 2‐D echocardiograms. The Doppler studies revealed a unidirectional flow within the lumen of the CAVF. In case 3, with a small CAVF originating from both the right coronary artery and left circumflex artery draining into the main pulmonary artery, no abnormal vascular structure could be detected by the 2‐D echocardiogram; with Doppler study, a diastolic as well as systolic flow signal directed toward the distal pulmonary artery could be detected.

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