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KMID : 0882420100780040495
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Korean Journal of Medicine
2010 Volume.78 No. 4 p.495 ~ p.498
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Multiple coronary artery-left ventricular fistulas in a patient with left ventricular hypertrophy
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Lee Hye-Won
Park Jin-Sup
Lee Han-Cheol
Choi Jae-Hoon
Kim Sang-Pil
Kim Yeong-Dae
Lee Sang-Kwon
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Abstract
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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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KEYWORD
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Vascular fistula, Coronary vessel anomalies, Microvascular angina, Angina pectoris
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