Korean J Med.
2010 Apr;78(4):495-498.
Multiple coronary artery-left ventricular fistulas in a patient with left ventricular hypertrophy
- Affiliations
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- 1Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. glaraone@hanmail.net
- 2Department of Internal Medicine, Busan Medical Center, Busan, Korea.
- 3Department of Thoracic and Cardiovascular Surgery, Pusan National University College of Medicine, Busan, Korea.
- 4Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Busan, Korea.
Abstract
- Congenital coronary artery fistulas between a coronary artery and a cardiac chamber occur in 0.2% of diagnostic cardiac catheterizations and usually arise when the right coronary artery drains into a right heart structure, such as the right atrium, right ventricle, or pulmonary artery. Fistulas draining into the left ventricle are uncommon. We report a case of multiple coronary artery-left ventricular microfistulas with eccentric septal hypertrophy presented as squeezing chest pain and discomfort at rest. This was diagnosed by coronary angiography and transthoracic echocardiography.
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