Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding | Zendy

Hossam Abubakar | Zendy; Ahmed S. Ahmed | Zendy; Omeralfaroug Adam | Zendy; Ahmed Yassin | Zendy

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Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding

Author(s) -

Hossam Abubakar,

Ahmed S. Ahmed,

Omeralfaroug Adam,

Ahmed Yassin

Publication year - 2018

Publication title -

oxford medical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.169

H-Index - 9

ISSN - 2053-8855

DOI - 10.1093/omcr/omy053

Subject(s) - medicine , cardiology , ventricle , chest pain , coronary arteries , coronary artery disease , coronary steal , artery , coronary angiography , left coronary artery , abnormality , ischemia , radiology , myocardial ischemia , myocardial infarction , psychiatry

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.

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