Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding. Issue 8 (4th August 2018)

• Record Type: Journal Article
• Authors: Abubakar, Hossam; Ahmed, Ahmed S; Adam, Omeralfaroug; Yassin, Ahmed S
• Is Part Of: Oxford medical case reports. Volume 2018:Issue 8(2018)
• Publication Date: 2018-08-04
• Subjects: Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1093/omcr/omy053
• Languages: English
• ISSNs: 2053-8855

Abstract

Abstract: A 54-year-old woman presents with a long history exertional chest pain and was found to have left ventricular systolic dysfunction on trans-thoracic echocardiogram. Coronary angiography revealed no evidence of atherosclerotic coronary artery disease and showed multiple micro-fistulae draining from all three major coronary arteries to the left ventricle. This rare abnormality is the result of failure of obliteration of intra-trabecular embryonic sinusoids and may cause myocardial ischemia through the coronary steal mechanism.