Korean J Med > Volume 78(4); 2010 > Article
The Korean Journal of Medicine 2010;78(4):495-498.
Multiple coronary artery-left ventricular fistulas in a patient with left ventricular hypertrophy
Hye-Won Lee, Jin Sup Park, Han Cheol Lee, Jae-Hoon Choi, Sang-Pil Kim, Yeong Dae Kim, Sang-Kwon Lee
좌심실비대 환자에서 다발성 관상동맥-좌심실 누관의 1예
이혜원, 박진섭, 이한철, 최재훈, 김상필, 김영대, 이상권
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.
Key Words: Vascular fistula; Coronary vessel anomalies; Microvascular angina; Angina pectoris


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