Multiple coronary artery-left ventricular fistulas: a pattern of anomalous coronary microvascularization

Fistulas between the coronary artery and the left heart chambers are exceptionally rare, especially those emptying into the left ventricle. We know of 33 cases of coronary artery-left ventricular fistulas reported in the literature, 7 of which had multiple communications. The findings in 6 additiona...

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Bibliographic Details
Published inCardiovascular and interventional radiology Vol. 11; no. 6; p. 313
Main Authors Gonda, Jr, R L, Gutierrez, O H, Moss, A J, Lee, H J
Format Journal Article
LanguageEnglish
Published United States 01.12.1988
Subjects
Aged
Angiography
Cardiomyopathies - diagnostic imaging
Coronary Vessel Anomalies - diagnostic imaging
Female
Fistula - diagnostic imaging
Heart Ventricles
Humans
Male
Microcirculation
Middle Aged
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Summary:Fistulas between the coronary artery and the left heart chambers are exceptionally rare, especially those emptying into the left ventricle. We know of 33 cases of coronary artery-left ventricular fistulas reported in the literature, 7 of which had multiple communications. The findings in 6 additional patients with multiple coronary artery-left ventricular fistulas are reported. Three of the 6 patients from all three major coronary arteries. It is important to recognize this anomaly as it may be the source of angina in patients without angiographic evidence of major atherosclerotic coronary artery disease.
ISSN:0174-1551
1432-086X
DOI:10.1007/BF02577405