Case report: a case of multiple coronary artery to left ventricular communications.
A 39-year-old man with anginal pain had multiple coronary artery to left ventricular communications. His electrocardiogram showed evidence of left ventricular hypertrophy, and an echocardiogram revealed a dilated left ventricle. A coronary angiogram revealed multiple coronary artery to left ventricular fistulae involving three major coronary arteries with no evidence of atherosclerotic lesions. Only 17 cases of such fistulous communications involving three major coronary arteries have been reported in the literature. It is suggested that the fistulous communications to the left ventricle was a cause of his angina pectoris, probably because of the coronary steal phenomenon.
Kinugawa
T
T
First Department of Internal Medicine, Tottori University, Yonago, Japan.
Kazuhide
O
O
Sawada
Y
Y
Hoshio
A
A
Miyakoda
H
H
Kotake
H
H
Mashiba
H
H
Kasahara
T
T
Endo
S
S
D000328:Adult; D000787:Angina Pectoris / Q000209:etiology; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging*; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male