Multiple coronary artery-left ventricular fistulae: haemodynamic quantification by intracoronary Doppler ultrasound. Issue 1 (July 1997)

• Record Type: Journal Article
• Authors: Meissner, A.; Lins, M.; Herrmann, G.; Simon, R.
• Is Part Of: Heart. Volume 78:Issue 1(1997)
• Page Start: 91
• Page End: 93
• Publication Date: 1997-07
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.78.1.91
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : Multiple coronary artery-left ventricular fistulae involving all three major coronary arteries are extremely rare. Clinical findings are heterogeneous but include a history of typical or atypical angina pectoris in most cases. Coronary arteriography in a 65 year old woman who presented with chest pain at rest revealed multiple fine fistulae arising from the left anterior descending, left circumflex, and right coronary arteries. Left-to-left shunt was estimated by measurements of coronary artery flow velocity with intravascular Doppler ultrasound.