[Multiple coronary artery fistula to left ventricle as a cause of myocardial ischemia].
We describe a patient with effort angina in whom the coronary arteriography revealed a rare type of coronary arterial fistula. All three major coronary arteries communicated with the left ventricle through a plexus of thin vessels. Both exercise stress test and thallium-dipiridamol demonstrated reversible myocardial ischemia. We think this case supports the clinical significance of the coronary steal phenomenon induced by the coronary arterial fistulae.
Gómez Barrado
J J
JJ
Servicio de Hemodinámica y Unidad Coronaria, Hospital Universitario Virgen Macarena, Sevilla.
Turégano Albarrán
S
S
García Rubira
J C
JC
Calderón Leal
J M
JM
Naranjo Alvarez
D
D
Marcos
F
F
Hidalgo Urbano
R
R
D001164:Arteriovenous Fistula / Q000150:complications*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology*
Fístula arterial coronaria múltiple a ventrículo izquierdo como causa de isquemia miocárdica.