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KMID : 0390620120200020108
Journal of Cardiovascular Ultrasound
2012 Volume.20 No. 2 p.108 ~ p.111
Multiple Fistula Emptying into the Left Ventricle through the Entire Left Ventricular Wall
Lee Dong-Yeub

Park Seon-Hee
Bae Myeong-Hwan
Lee Jang-Hun
Yang Dong-Heon
Park Hun-Sik
Cho Yong-Keun
Chae Shung-Chull
Jun Jae-Eun
Abstract
Coronary artery fistulae are usually identified during invasive coronary angiographies. However, in this case, we made the early detection of coronary artery fistulae during non-invasive transthoracic echocardiography, by demonstrating diastolic multiple abnormal color Doppler flows on the entire left ventricular walls including left ventricular free wall, interventricular septum and apex, which were mimicking firecracker on the whole left ventricle. Fistulous communication from the coronary artery to the left ventricle is rare. Moreover, a case of multiple coronary fistulae emptying into the left ventricle through the entire left ventricular walls including left ventricular free wall, interventricular septum and apex is uncommon. We report a case of a 31-year-old woman who was diagnosed with multiple fistula communicating with entire left ventricular wall.
KEYWORD
Multiple fistula , Left ventricle , Firecracker
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