Bilateral coronary-artery-to-pulmonary-artery fistula coexistent with apical hypertrophic cardiomyopathy--a case report.
A sixty-four-year-old man presented with repolarization abnormalities on the electrocardiogram. Echocardiography and cardiac catheterization revealed that he had the rare combination of apical hypertrophic cardiomyopathy with bilateral coronary-artery-to-pulmonary-artery fistula. An exercise thallium scan was negative, suggesting that the marked electrocardiographic changes were most likely secondary to the apical myocardial hypertrophy, instead of to coronary-steal-induced ischemia.
Tai
Y T
YT
Department of Medicine, University of Hong Kong.
Fong
P C
PC
Chow
W H
WH
D001159:Arterio-Arterial Fistula / Q000151:congenital / Q000175:diagnosis*; D006328:Cardiac Catheterization; D002312:Cardiomyopathy, Hypertrophic / Q000151:congenital / Q000175:diagnosis*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000002:abnormalities*; D013794:Thallium Radioisotopes
D013794:Thallium Radioisotopes