title: Multiple Coronary Artery Microfistulas Associated with Apical Hypertrophic Cardiomyopathy: Left and Right Coronary Artery to the Left Ventricle.
abstract: A 76-year-old woman underwent coronary angiography for chest pain. On the coronary angiogram, no significant coronary artery atherosclerotic stenosis was observed. Multiple coronary artery microfistulas, draining from the left anterior descending artery to the left ventricle and from the posterior descending artery of the right coronary artery to the left ventricle, were observed. Apical wall thickening and fistula flow from the left anterior descending artery were demonstrated by using transthoracic echocardiography. We describe a rare case of multiple coronary artery microfistulas from the left and right coronary artery to the left ventricle combined with apical hypertrophic cardiomyopathy.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju 52727, Republic of Korea.
authors.forename: Jeong-Woo
authors.initials: JW
authors.lastname: Choi
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju 52727, Republic of Korea.
authors.forename: Kyehwan
authors.initials: K
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju 52727, Republic of Korea.
authors.forename: Min Gyu
authors.initials: MG
authors.lastname: Kang
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju 52727, Republic of Korea.
authors.forename: Jin-Sin
authors.initials: JS
authors.lastname: Koh
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju 52727, Republic of Korea.
authors.forename: Jeong Rang
authors.initials: JR
authors.lastname: Park
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju 52727, Republic of Korea.
authors.forename: Jin-Yong
authors.initials: JY
authors.lastname: Hwang