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Related Experiment Videos

Diffuse multiple coronary arteries to left ventricular fistulas.

Y C Liu1, S J Lin, P Y Ding

  • 1Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|August 10, 2000
PubMed
Summary

Coronary artery to left ventricle fistula is a rare anomaly. This case details diffuse multiple fistulas in a 60-year-old woman presenting with exertional angina due to myocardial ischemia.

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Area of Science:

  • Cardiology
  • Anatomic Pathology
  • Medical Imaging

Background:

  • Coronary artery to left ventricle fistula is a rare congenital or acquired anomaly.
  • Multiple diffuse fistulas involving both coronary arteries are exceptionally rare.

Observation:

  • A 60-year-old woman presented with exertional angina and myocardial ischemia.
  • Diagnostic workup revealed diffuse multiple fistulas between both coronary arteries and the left ventricle.

Findings:

  • The patient's symptoms were attributed to the coronary "steal" phenomenon.
  • Positive stress exercise test confirmed myocardial ischemia.

Implications:

  • This case highlights the importance of considering rare fistulas in patients with unexplained angina.

Related Experiment Videos

  • Understanding the coronary steal phenomenon is crucial for managing such anomalies.