Coronary artery–left ventricular multiple microfistulas, a rare disease that is easily missed: case report and literature review

Coronary artery–left ventricular multiple microfistulas (CALVMMFs) are a very rare type of coronary artery fistula. Because of their special anatomical structure and hemodynamics, CALVMMFs often result in no obvious symptoms and signs. Most patients are diagnosed by coronary angiography; however, as...

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Published inJournal of international medical research Vol. 50; no. 2; p. 3000605221082882
Main Authors Chen, Kaicong, Zeng, Zhihuan, Li, Tudi, Chen, Rong, Luo, Junqian, Zhou, Zihao
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.02.2022
Sage Publications Ltd
SAGE Publishing
Subjects
Case Reports
Coronary Angiography
Coronary vessels
Coronary Vessels - diagnostic imaging
Heart Defects, Congenital - diagnosis
Heart Ventricles - diagnostic imaging
Humans
Rare Diseases
case report
Doppler echocardiography
microfistula
Coronary artery fistula
coronary angiography
coronary vessel anomaly
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Summary:Coronary artery–left ventricular multiple microfistulas (CALVMMFs) are a very rare type of coronary artery fistula. Because of their special anatomical structure and hemodynamics, CALVMMFs often result in no obvious symptoms and signs. Most patients are diagnosed by coronary angiography; however, as a routine noninvasive screening method, Doppler echocardiography is a potential first-choice diagnostic technique for patients with CALVMMFs. Although satisfactory results of CALVMMF closure are difficult to achieve, the clinical symptoms of these patients are not obvious, and drug therapy has a clear therapeutic effect on most patients. We herein introduce seven cases of CALVMMFs confirmed by our hospital and briefly review the related literature.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:0300-0605
1473-2300
DOI:10.1177/03000605221082882