Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding

A 54-year-old woman presents with a long history exertional chest pain and was found to have left ventricular systolic dysfunction on trans-thoracic echocardiogram. Coronary angiography revealed no evidence of atherosclerotic coronary artery disease and showed multiple micro-fistulae draining from a...

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Autores principales: Abubakar, Hossam, Ahmed, Ahmed S, Adam, Omeralfaroug, Yassin, Ahmed S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Clinical Image
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077794/
https://www.ncbi.nlm.nih.gov/pubmed/30094044
http://dx.doi.org/10.1093/omcr/omy053
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author Abubakar, Hossam
Ahmed, Ahmed S
Adam, Omeralfaroug
Yassin, Ahmed S
author_facet Abubakar, Hossam
Ahmed, Ahmed S
Adam, Omeralfaroug
Yassin, Ahmed S
author_sort Abubakar, Hossam
collection PubMed
description A 54-year-old woman presents with a long history exertional chest pain and was found to have left ventricular systolic dysfunction on trans-thoracic echocardiogram. Coronary angiography revealed no evidence of atherosclerotic coronary artery disease and showed multiple micro-fistulae draining from all three major coronary arteries to the left ventricle. This rare abnormality is the result of failure of obliteration of intra-trabecular embryonic sinusoids and may cause myocardial ischemia through the coronary steal mechanism.
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spelling pubmed-60777942018-08-09 Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding Abubakar, Hossam Ahmed, Ahmed S Adam, Omeralfaroug Yassin, Ahmed S Oxf Med Case Reports Clinical Image A 54-year-old woman presents with a long history exertional chest pain and was found to have left ventricular systolic dysfunction on trans-thoracic echocardiogram. Coronary angiography revealed no evidence of atherosclerotic coronary artery disease and showed multiple micro-fistulae draining from all three major coronary arteries to the left ventricle. This rare abnormality is the result of failure of obliteration of intra-trabecular embryonic sinusoids and may cause myocardial ischemia through the coronary steal mechanism. Oxford University Press 2018-08-04 /pmc/articles/PMC6077794/ /pubmed/30094044 http://dx.doi.org/10.1093/omcr/omy053 Text en © The Author(s) 2018. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Clinical Image
Abubakar, Hossam
Ahmed, Ahmed S
Adam, Omeralfaroug
Yassin, Ahmed S
Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding
title Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding
title_full Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding
title_fullStr Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding
title_full_unstemmed Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding
title_short Three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding
title_sort three vessel coronary artery-left ventricular multiple micro-fistulas: a rare angiographic finding
topic Clinical Image
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077794/
https://www.ncbi.nlm.nih.gov/pubmed/30094044
http://dx.doi.org/10.1093/omcr/omy053
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