title: [Multiple left coronary-ventricular microfistula and apical hypertrophy].
abstract: Coronary arterio-systemic fistula is a rare condition, especially when multiple fistulae communicate with the left ventricule. The association of multiple congenital coronary artery-left ventricular fistulae and apical hypertrophy has not been previously reported. The authors report three cases, all in women, with multiple coronary artery-left ventricular fistulae and apical hypertrophy diagnosed by angiography. The association may not be coincidental as multiple microfistulae could cause abnormalities of the microcirculation and result in reactional myocardial hypertrophy.
authors.affiliation: Polyclinique Bordeaux Nord Aquitaine, Bordeaux.
authors.forename: N
authors.initials: N
authors.lastname: Delarche
authors.forename: J P
authors.initials: JP
authors.lastname: Colle
mesh_terms: D000368:Aged; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications* / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D005402:Fistula / Q000150:complications* / Q000175:diagnosis; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D016277:Ventricular Function, Left
vernacular_title: Microfistules multiples coronaro-ventriculaires gauches et hypertrophie apicale.