How should I treat an unusual referral for heart transplantation?
BACKGROUND
A 55 years old man was referred for cardiac transplantation because of intractable angina and fatigue.


METHODS
Physical examination, laboratory test, echocardiography, exercise ECG, MRI and coronary arteriography.


METHODS
Multiple coronary artery fistulae.


RESULTS
Beta-blockers, angiotensin-converting enzyme inhibitor ICD.
Caliskan
Kadir
K
Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands. k.caliskan@erasmusmc.nl
Balk
Aggie H H M
AH
Wykrzykowska
Joanna J
JJ
van Geuns
Robert-Jan
RJ
Serruys
Patrick W
PW
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D000787:Angina Pectoris / Q000209:etiology / Q000628:therapy; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D017147:Defibrillators, Implantable; D018618:Echocardiography, Doppler, Color; D004554:Electric Countershock / Q000295:instrumentation; D004562:Electrocardiography; D005080:Exercise Test; D017079:Exercise Tolerance; D005221:Fatigue / Q000209:etiology / Q000628:therapy; D016027:Heart Transplantation; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010808:Physical Examination; D012017:Referral and Consultation; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D016277:Ventricular Function, Left
D000319:Adrenergic beta-Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors