Extensive multiple coronary artery to left ventricular fistulas – a 10-year case history

May 2002    Volume 9, Issue 5   Br J Cardiol 2002;9:294-6

Authors:
Matthew J Banks, Jane Flint, Peter R Forsey, George D Kitas

Extensive multiple coronary artery to left ventricular fistulas – a 10-year case history We report the 10-year case history of a 50-year-old woman who presented with angina due to extensive, bilateral, multiple coronary artery to left ventricular fistulas (MCALVF). 201Thallium myocardial scintigraphy revealed reversible ischaemia due to coronary ‘steal’. Cardiac catheterisation showed left ventricular dilatation due to high cardiac output from significant coronary to left ventricular shunt.

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