open access

Vol 18, No 3 (2011)
Case Reports
Published online: 2011-06-09
Submitted: 2013-01-14
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Coronary artery-left ventricular microfistulae associated with apical hypertrophic cardiomyopathy

Özgül Uçar, Hülya Çiçekçioglu, Mustafa Çetin, Mehmet Ileri, Sinan Aydogdu
Cardiol J 2011;18(3):307-309.

open access

Vol 18, No 3 (2011)
Case Reports
Published online: 2011-06-09
Submitted: 2013-01-14

Abstract

A 58 year-old Caucasian man was admitted to the coronary care unit with angina pectoris. There were deep inverted T waves and ST segment depression at anterior precordial derivations. Coronary angiography revealed widespread coronary artery to left ventricular microfistulae arising from distal portions of both left and right coronary systems. Left ventriculography and transthoracic echocardiography revealed typical features of apical hypertrophic cardiomyopathy. Angina pectoris was alleviated by beta-blocker therapy. Both multiple coronary artery to left ventricular microfistulae and apical hypertrophic cardiomyopathy are rare conditions and little is known about pathophysiological and clinical aspects of this combination. Accumulating evidence will provide us this information so that the management of the patients will be enhanced. (Cardiol J 2011; 18, 3: 307–309)

Abstract

A 58 year-old Caucasian man was admitted to the coronary care unit with angina pectoris. There were deep inverted T waves and ST segment depression at anterior precordial derivations. Coronary angiography revealed widespread coronary artery to left ventricular microfistulae arising from distal portions of both left and right coronary systems. Left ventriculography and transthoracic echocardiography revealed typical features of apical hypertrophic cardiomyopathy. Angina pectoris was alleviated by beta-blocker therapy. Both multiple coronary artery to left ventricular microfistulae and apical hypertrophic cardiomyopathy are rare conditions and little is known about pathophysiological and clinical aspects of this combination. Accumulating evidence will provide us this information so that the management of the patients will be enhanced. (Cardiol J 2011; 18, 3: 307–309)
Get Citation

Keywords

coronary fistula; cardiomyopathy; angina; coronary angiography

About this article
Title

Coronary artery-left ventricular microfistulae associated with apical hypertrophic cardiomyopathy

Journal

Cardiology Journal

Issue

Vol 18, No 3 (2011)

Pages

307-309

Published online

2011-06-09

Bibliographic record

Cardiol J 2011;18(3):307-309.

Keywords

coronary fistula
cardiomyopathy
angina
coronary angiography

Authors

Özgül Uçar
Hülya Çiçekçioglu
Mustafa Çetin
Mehmet Ileri
Sinan Aydogdu

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