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.
Department of Cardiology, Thoraxcentrum Twente, Medisch Spectrum Twente, Haaksbergerstraat 55, 7513, ER, Enschede, The Netherlands. mail.m.hartmann@web.de
Marc
M
Hartmann
Jan
J
van Es
Michel A
MA
Galjee
Pieter H
PH
van der Burgh
Wieger I
WI
de Bruin
Salah A
SA
Said
Clemens
C
von Birgelen
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