Multiple coronary artery-left ventricular fistulae: haemodynamic quantification by intracoronary Doppler ultrasound.
Multiple coronary artery-left ventricular fistulae involving all three major coronary arteries are extremely rare. Clinical findings are heterogeneous but include a history of typical or atypical angina pectoris in most cases. Coronary arteriography in a 65 year old woman who presented with chest pain at rest revealed multiple fine fistulae arising from the left anterior descending, left circumflex, and right coronary arteries. Left-to-left shunt was estimated by measurements of coronary artery flow velocity with intravascular Doppler ultrasound.
Meissner
A
A
Department of Cardiology, University of Kiel, Germany.
Lins
M
M
Herrmann
G
G
Simon
R
R
D000368:Aged; D001783:Blood Flow Velocity; D009202:Cardiomyopathies / Q000000981:diagnostic imaging* / Q000503:physiopathology; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D018084:Ultrasonography, Interventional