Detection of myocardial ischaemia caused by coronary artery-left ventricular fistulae using myocardial contrast echocardiography.
A coronary artery-left ventricular fistula (CAF) is an extremely rare anatomical abnormality in which blood drains directly from a coronary artery into the left ventricle. CAF may cause myocardial ischaemia and angina. Myocardial contrast echocardiography (MCE) is a non-invasive technique which assesses myocardial perfusion. We describe a patient with CAF in whom transmural myocardial ischaemia was demonstrated using MCE.
Rana
Omar
O
Department of Cardiology, Poole Hospital NHS Foundation Trust, Longfleet Road, Poole, Dorset BH15 2JB, UK.
Swallow
Rosie
R
Senior
Roxy
R
Greaves
Kim
K
D000368:Aged; D017023:Coronary Angiography / Q000379:methods; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy; D003952:Diagnostic Imaging / Q000379:methods; D004280:Dobutamine; D004452:Echocardiography / Q000379:methods*; D018618:Echocardiography, Doppler, Color / Q000379:methods; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging*; D006352:Heart Ventricles; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D018570:Risk Assessment; D016157:Vascular Fistula / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy
D004280:Dobutamine