Journal of Cardiovascular Imaging

Korean Society of Echocardiography (한국심초음파학회)
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MULTIPLE FISTULA EMPTYING INTO THE LEFT VENTRICLE THROUGH THE ENTIRE LEFT VENTRICULAR WALL

  • Lee, Dong-Yeub (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Park, Seon Hee (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Bae, Myeong Hwan (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Lee, Jang Hun (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Yang, Dong Heon (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Park, Hun-Sik (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Cho, Yongkeun (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Chae, Shung-Chull (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital) ;
  • Jun, Jae-Eun (Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital)
  • Received : 2012.03.15
  • Accepted : 2012.05.15
  • Published : 2012.06.27
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Abstract

Coronary artery fistulae are usually identified during invasive coronary angiographies. However, in this case, we made the early detection of coronary artery fistulae during non-invasive transthoracic echocardiography, by demonstrating diastolic multiple abnormal color Doppler flows on the entire left ventricular walls including left ventricular free wall, interventricular septum and apex, which were mimicking firecracker on the whole left ventricle. Fistulous communication from the coronary artery to the left ventricle is rare. Moreover, a case of multiple coronary fistulae emptying into the left ventricle through the entire left ventricular walls including left ventricular free wall, interventricular septum and apex is uncommon. We report a case of a 31-year-old woman who was diagnosed with multiple fistula communicating with entire left ventricular wall.

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  1. Fístula da Artéria Coronária: Associação entre Padrões de Trajetos, Características Clínicas e Cardiopatias Congênitas vol.117, pp.1, 2012, https://doi.org/10.36660/abc.20190578