Bi-directional flow in coronary-to-left ventricular fistula.
Coronary artery fistulae are rare congenital anomalies occasionally observed during coronary angiography. We present a case of retrograde coronary opacification during left ventriculography. This is the first reported case of angiographically documented bi-directional flow in these structures. Due to advanced age and personal wishes, the patient was treated medically. The epidemiology, pathophysiology, and therapy for coronary fistulae are briefly discussed.
D000369:Aged, 80 and over; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D005402:Fistula / Q000151:congenital* / Q000000981:diagnostic imaging*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male