Cardiac imaging in a symptomatic patient with multiple coronary artery-left ventricular microfistulae.
We present the case of a 44-year-old woman with acute coronary syndrome and multiple coronary artery-left ventricular microfistulae at angiography. To evaluate the clinical significance of this observation and to obtain further insights into this rare disease, the patient was further examined with echocardiography and both magnetic resonance imaging and single-photon emission computed tomography, which showed considerable abnormalities.
Hartmann
Marc
M
Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Haaksbergerstraat 55, 7513, ER, Enschede, The Netherlands. mail.m.hartmann@web.de
van Es
Jan
J
Galjee
Michel A
MA
van der Burgh
Pieter H
PH
de Bruin
Wieger I
WI
Said
Salah A
SA
von Birgelen
Clemens
C
D000328:Adult; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003330:Coronary Vessel Anomalies / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D008279:Magnetic Resonance Imaging; D015899:Tomography, Emission-Computed, Single-Photon; D016157:Vascular Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging