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Multiple coronary artery-left ventricular fistulae: haemodynamic quantification by intracoronary Doppler ultrasound
A Meissner1, M Lins, G Herrmann
1Department of Cardiology, University of Kiel, Germany.
Insights
Multiple coronary artery-left ventricular fistulae are rare, often causing chest pain. This case study details a 65-year-old woman with multiple fistulae across all major coronary arteries, diagnosed using coronary arteriography and Doppler ultrasound.
Area of Science:
- Cardiology
- Vascular Medicine
- Diagnostic Imaging
Background:
- Coronary artery anomalies, such as fistulae, are uncommon vascular malformations.
- Multiple coronary artery-left ventricular fistulae involving all three major coronary arteries are exceptionally rare.
- Clinical presentations are diverse, frequently including angina pectoris.
Abstract:
Multiple coronary artery-left ventricular fistulae involving all three major coronary arteries are extremely rare. Clinical findings are heterogeneous but include a history of typical or atypical angina pectoris in most cases. Coronary arteriography in a 65 year old woman who presented with chest pain at rest revealed multiple fine fistulae arising from the left anterior descending, left circumflex, and right coronary arteries. Left-to-left shunt was estimated by measurements of coronary artery flow velocity with intravascular Doppler ultrasound.