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A Case of Coronary-Cameral Fistulae Involving All Three Major Coronary Arteries
Author(s) -
Nikolaos Fragakis,
Eleftherios Giazitzoglou,
Demosthenes G. Katritsis
Publication year - 2015
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.114.013936
Subject(s) - medicine , medical school , coronary arteries , coronary angiography , interventional cardiology , chest pain , artery , myocardial infarction , medical education
We describe a case of a 61-year-old female patient who underwent coronary angiography for the investigation of short-lasting chest pain episodes at rest. Her medical history consisted of dyslipidemia as the only risk factor for coronary artery disease. Clinical examination was unremarkable with no signs of heart failure or additional heart murmurs. The results of a standard 12-lead ECG were normal, but the treadmill test was suggestive of ischemia due to borderline ST depression in the inferior leads on high workload. Transthoracic echocardiography, besides a normal size and function left ventricle, revealed also some color flow throughout diastole from the lateral epicardial surface into the left ventricular cavity (Figure A and Movies I and II in …

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