Echocardiographic evaluation of the five-chamber heart: a rare congenital coronary anomaly.
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.
Jortner
R T
RT
Beilinson Medical Center, Petah-Tiqva, Israel.
Daniel
W G
WG
Ayzenberg
O
O
Saad
A
A
Tunick
P A
PA
Kronzon
I
I
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