Three-vessel left-ventricular microfistulization syndrome: a rare case of angina.
A 55-year-old woman with angina was found to have multiple fistulae from all three major coronary arteries to the left ventricle. The aortography mimicked a severe aortic insufficiency. This rare vascular anomaly can cause a coronary steal phenomenon and subsequent myocardial ischemia in patients without angiographic evidence of major atherosclerotic coronary artery disease.
Iadanza
Alessando
A
del Pasqua
Alessia
A
Fineschi
Massimo
M
Pierli
Carlo
C
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D017023:Coronary Angiography; D003331:Coronary Vessels; D005260:Female; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D013577:Syndrome; D016157:Vascular Fistula / Q000150:complications* / Q000000981:diagnostic imaging
D000319:Adrenergic beta-Antagonists