title: Echocardiographic evaluation of the five-chamber heart: a rare congenital coronary anomaly.
abstract: Coronary artery fistulas are rare congenital anomalies that usually drain into one of the cardiac chambers or veins. The current patient was found to have a distinctly unusual anatomic picture, with a fifth cardiac chamber appearing at the cardiac apex. This proved to be the drainage site for a large coronary artery fistula originating in the left anterior descending coronary artery. The anatomic relations and blood flow patterns were demonstrated with transthoracic and transesophageal echocardiography.
authors.affiliation: Beilinson Medical Center, Petah-Tiqva, Israel.
authors.forename: R T
authors.initials: RT
authors.lastname: Jortner
authors.forename: W G
authors.initials: WG
authors.lastname: Daniel
authors.forename: O
authors.initials: O
authors.lastname: Ayzenberg
authors.forename: A
authors.initials: A
authors.lastname: Saad
authors.forename: P A
authors.initials: PA
authors.lastname: Tunick
authors.forename: I
authors.initials: I
authors.lastname: Kronzon
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005260:Female; D005402:Fistula / Q000151:congenital / Q000000981:diagnostic imaging*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans