title: [Demonstrated myocardial ischemia due to multiple coronary fistulae draining into the left ventricle].
abstract: There are few cases of demonstrated ischemia due to the presence of multiple coronary fistulae. We report a case of multiple coronary fistulae from left anterior descending, circumflex and right coronary arteries draining into the left ventricle, which were responsible for myocardial ischemia demonstrated with thallium stress test. They were diagnosed by coronary angiography, and their etiology seems to be congenital. The final control of symptoms was achieved with beta-blockers, and not with nitrates, which speaks for a steal phenomenon as the cause of ischemia.
authors.affiliation: Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid. hosoctubre@ms3.redestb.es
authors.forename: R
authors.initials: R
authors.lastname: Gascueña Rubia
authors.forename: F
authors.initials: F
authors.lastname: Hernández Hernández
authors.forename: J C
authors.initials: JC
authors.lastname: Tascón Pérez
authors.forename: A
authors.initials: A
authors.lastname: Albarrán González-Trevilla
authors.forename: M
authors.initials: M
authors.lastname: Lázaro Salvador
authors.forename: P
authors.initials: P
authors.lastname: Hernández Simón
mesh_terms: D001164:Arteriovenous Fistula / Q000150:complications*; D003331:Coronary Vessels; D005402:Fistula / Q000150:complications*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D011877:Radionuclide Imaging