Case report: a case of multiple coronary artery to left ventricular communications

• Published in: The American journal of the medical sciences Vol. 306; no. 5; p. 306
• Main Authors: Kinugawa, T, Kazuhide, O, Sawada, Y, Hoshio, A, Miyakoda, H, Kotake, H, Mashiba, H, Kasahara, T, Endo, S
• Format: Journal Article
• Language: English
• Published: United States 01.11.1993
• Subjects: Adult; Angina Pectoris - etiology; Coronary Angiography; Coronary Disease - complications; Coronary Disease - diagnostic imaging; Fistula - complications; Fistula - diagnostic imaging; Heart Diseases - complications; Heart Diseases - diagnostic imaging; Heart Ventricles - diagnostic imaging; Humans; Male
• ISSN: 0002-9629
• DOI: 10.1097/00000441-199311000-00006

A 39-year-old man with anginal pain had multiple coronary artery to left ventricular communications. His electrocardiogram showed evidence of left ventricular hypertrophy, and an echocardiogram revealed a dilated left ventricle. A coronary angiogram revealed multiple coronary artery to left ventricular fistulae involving three major coronary arteries with no evidence of atherosclerotic lesions. Only 17 cases of such fistulous communications involving three major coronary arteries have been reported in the literature. It is suggested that the fistulous communications to the left ventricle was a cause of his angina pectoris, probably because of the coronary steal phenomenon.