TY - JOUR
T1 - Multiple coronary artery-left ventricular microfistulae in a patient with apical hypertrophic cardiomyopathy
T2 - A demonstration by transthoracic color Doppler echocardiography
AU - Hong, Geu Ru
AU - Choi, Seong Hun
AU - Kang, Seok Min
AU - Lee, Moon Hyung
AU - Rim, Se Joong
AU - Jang, Yangsoo
AU - Chung, Namsik
PY - 2003/8/30
Y1 - 2003/8/30
N2 - Among the congenital coronary artery fistulae, multiple coronary artery microfistulae arising from the left and right coronary artery and emptying into the left ventricle are very rare and little is known of their anatomic and clinical features, especially in apical hypertrophic cardiomyopathy. A 67-year-old woman was referred for the evaluation of chest pain at exertion, and shortness of breath. Electrocardiographic and echocardiographic findings were typical of apical hypertrophic cardiomyopathy. Coronary arteriography showed normal epicardial coronary arteries, but multiple coronary artery-left ventricular microfistulae arising from the left and right coronary arteries. Transthoracic color Doppler echocardiography, using a high frequency transducer with a low Nyquist limit, demonstrated multiple coronary artery-left ventricular microfistulae just beneath the apical impulse window.
AB - Among the congenital coronary artery fistulae, multiple coronary artery microfistulae arising from the left and right coronary artery and emptying into the left ventricle are very rare and little is known of their anatomic and clinical features, especially in apical hypertrophic cardiomyopathy. A 67-year-old woman was referred for the evaluation of chest pain at exertion, and shortness of breath. Electrocardiographic and echocardiographic findings were typical of apical hypertrophic cardiomyopathy. Coronary arteriography showed normal epicardial coronary arteries, but multiple coronary artery-left ventricular microfistulae arising from the left and right coronary arteries. Transthoracic color Doppler echocardiography, using a high frequency transducer with a low Nyquist limit, demonstrated multiple coronary artery-left ventricular microfistulae just beneath the apical impulse window.
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U2 - 10.3349/ymj.2003.44.4.710
DO - 10.3349/ymj.2003.44.4.710
M3 - Article
C2 - 12950129
AN - SCOPUS:0042381181
VL - 44
SP - 710
EP - 714
JO - Yonsei Medical Journal
JF - Yonsei Medical Journal
SN - 0513-5796
IS - 4
ER -