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Updated: Jul 9, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
08:13

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography

Published on: February 16, 2016

Cardiac imaging in a symptomatic patient with multiple coronary artery-left ventricular microfistulae

Marc Hartmann1, Jan van Es, Michel A Galjee

  • 1Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Haaksbergerstraat 55, 7513, ER, Enschede, The Netherlands. mail.m.hartmann@web.de

Heart and Vessels
|November 29, 2007
PubMed

Insights

This case study details a rare condition of coronary artery-left ventricular microfistulae in a patient experiencing acute coronary syndrome. Advanced imaging confirmed significant abnormalities, highlighting the importance of comprehensive evaluation for this uncommon cardiac anomaly.

Area of Science:

  • Cardiology
  • Cardiac Imaging
  • Vascular Biology

Background:

  • Acute coronary syndrome (ACS) necessitates thorough etiological investigation.
  • Coronary artery-left ventricular microfistulae represent a rare but significant cardiac anomaly.
  • Understanding the clinical significance of microfistulae requires advanced diagnostic modalities.

Observation:

  • A 44-year-old female presented with acute coronary syndrome.
  • Coronary angiography revealed multiple coronary artery-left ventricular microfistulae.
  • The patient exhibited symptoms indicative of myocardial ischemia.

Findings:

  • Echocardiography demonstrated structural and functional cardiac abnormalities.
  • Magnetic resonance imaging (MRI) provided detailed anatomical insights.
  • Single-photon emission computed tomography (SPECT) revealed perfusion deficits, confirming clinical significance.

Implications:

  • This case underscores the diagnostic utility of multimodal cardiac imaging in rare conditions.
  • Early identification and characterization of coronary artery-left ventricular microfistulae are crucial for patient management.
  • Further research into the pathophysiology and long-term outcomes of this anomaly is warranted.

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