Back to Search
Start Over
A Case of Multiple Coronary Artery-Left Ventricular Microfistulae Demonstrated by Transthoracic Doppler Echocardiography
- Source :
- Korean Circulation Journal. 33:338
- Publication Year :
- 2003
- Publisher :
- The Korean Society of Cardiology, 2003.
-
Abstract
- Of the congenital coronary artery fistulae, the multiple coronary artery microfistulae, arising from the left and right coronary artery emptying into the left ventricle, are very rare. Little is known about their anatomic and clinical features, especially in apical hypertrophic cardiomyopathy. The clinical findings are heterogeneous, but include, in most cases, a history of typical or atypical angina pectoris. A 67 year old woman was referred for evaluation of chest pain on exertion, and a shortness of breath. The electrocardiographic and echocardiographic findings were typical of apical hypertrophic cardiomyopathy. Coronary arteriography showed normal epicardial coronary arteries, but multiple coronary artery-left ventricular microfistulae arising from the left and right coronary arteries. Transthoracic Doppler echocardiography, using a high frequency transducer, with a low Nyquist limit, demonstrated multiple coronary artery-left ventricular microfistulae just beneath the apical impulse window. (Korean Circulation J 2003;33 (4):338-342)
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
business.industry
Atypical Angina
Hypertrophic cardiomyopathy
Coronary arteriography
Doppler echocardiography
medicine.disease
Chest pain
Coronary arteries
medicine.anatomical_structure
Ventricle
Internal medicine
Cardiology
Medicine
medicine.symptom
business
Artery
Subjects
Details
- ISSN :
- 1225164X
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- Korean Circulation Journal
- Accession number :
- edsair.doi...........c94e18d84582ca4d0eda19aa4afee913