Multiple Fistula Emptying into the Left Ventricle through the Entire Left Ventricular Wall.
Coronary artery fistulae are usually identified during invasive coronary angiographies. However, in this case, we made the early detection of coronary artery fistulae during non-invasive transthoracic echocardiography, by demonstrating diastolic multiple abnormal color Doppler flows on the entire left ventricular walls including left ventricular free wall, interventricular septum and apex, which were mimicking firecracker on the whole left ventricle. Fistulous communication from the coronary artery to the left ventricle is rare. Moreover, a case of multiple coronary fistulae emptying into the left ventricle through the entire left ventricular walls including left ventricular free wall, interventricular septum and apex is uncommon. We report a case of a 31-year-old woman who was diagnosed with multiple fistula communicating with entire left ventricular wall.
Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.
Dong-Yeub
DY
Lee
Seon Hee
SH
Park
Myeong Hwan
MH
Bae
Jang Hun
JH
Lee
Dong Heon
DH
Yang
Hun-Sik
HS
Park
Yongkeun
Y
Cho
Shung-Chull
SC
Chae
Jae-Eun
JE
Jun