Apical hypertrophic cardiomyopathy associated with multiple coronary artery-left ventricular fistulae: a report of a case and review of the literature.
We present a rare case of multiple coronary artery-left ventricular (LV) fistulae, associated with apical hypertrophic cardiomyopathy in an 83-year-old woman with electrocardiographic abnormalities and a history of arterial hypertension and paroxysmal atrial fibrillation. In order to evaluate the clinical significance and obtain further insights into this unusual disease, the patient has undergone coronary angiography, left ventriculography, and magnetic resonance imaging which better substantiated the structural abnormalities of the LV and the coronary network.
Dresios
Christos
C
Department of Cardiology, Army Veterans Hospital Athens, Athens, Greece. cdresios@yahoo.gr
Apostolakis
Stavros
S
Tzortzis
Stavros
S
Lazaridis
Kyriakos
K
Gardikiotis
Alexandros
A
D000369:Aged, 80 and over; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000175:diagnosis*; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000175:diagnosis*; D006352:Heart Ventricles; D006801:Humans; D016157:Vascular Fistula / Q000150:complications / Q000175:diagnosis*