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Multiple Coronary Artery-Left Ventricular Microfistulae in a Patient with Apical Hypertrophic Cardiomyopathy: A Demonstration by Transthoracic Color Doppler Echocardiography

Authors
 Geu Ru Hong  ;  Seong Hun Choi  ;  Nam Sik Chung  ;  Yang Soo Jang  ;  Se Joong Rim  ;  Moon Hyung Lee  ;  Seok Min Kang 
Citation
 YONSEI MEDICAL JOURNAL, Vol.44(4) : 710-714, 2003 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2003
MeSH
apical hypertrophic cardiomyopathy ; transtho-racic Doppler echoardiography ; coronary artery-left ventri-cular microfistulae
Keywords
apical hypertrophic cardiomyopathy ; transtho-racic Doppler echoardiography ; coronary artery-left ventri-cular microfistulae
Abstract
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.
Files in This Item:
T200306390.pdf Download
DOI
10.3349/ymj.2003.44.4.710
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seok Min(강석민) ORCID logo https://orcid.org/0000-0001-9856-9227
Lee, Moon-Hyoung(이문형) ORCID logo https://orcid.org/0000-0002-7268-0741
Jang, Yang Soo(장양수) ORCID logo https://orcid.org/0000-0002-2169-3112
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114369
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