[Two cases of coronary artery-left ventricular fistula associated with left ventricular hypertrophy].
Two cases of coronary artery-left ventricular fistula (AVF) associated with left ventricular hypertrophy were reported. The first patient was a 53-year-old man with chest pain. Selective coronary angiography (CAG) revealed bilateral coronary arteries draining into the left ventricle (LV). The second patient was a 46-year old man with electrocardiographic (ECG) abnormalities. CAG showed bilateral coronary artery which communicated via a maze of fine vessels into LV. In both cases, ECG showed ST depression and inverted T wave, and two-dimensional echocardiography revealed hypertrophic cardiomyopathy (HCM). Coexistence of coronary artery-left ventricular fistula and HCM seems to be a casual association.
Kiyokawa
H
H
Department of Internal Medicine, Toyama Prefectural Central Hospital.
Iuchi
K
K
Ishikawa
T
T
Kaseno
K
K
D006332:Cardiomegaly / Q000150:complications* / Q000175:diagnosis; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000175:diagnosis; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis*; D004452:Echocardiography; D004562:Electrocardiography; D005402:Fistula / Q000175:diagnosis*; D006331:Heart Diseases / Q000175:diagnosis*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged