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. 1997 Jul;78(1):91–93. doi: 10.1136/hrt.78.1.91

Multiple coronary artery-left ventricular fistulae: haemodynamic quantification by intracoronary Doppler ultrasound.

A Meissner 1, M Lins 1, G Herrmann 1, R Simon 1
PMCID: PMC484872  PMID: 9290410

Abstract

Multiple coronary artery-left ventricular fistulae involving all three major coronary arteries are extremely rare. Clinical findings are heterogeneous but include a history of typical or atypical angina pectoris in most cases. Coronary arteriography in a 65 year old woman who presented with chest pain at rest revealed multiple fine fistulae arising from the left anterior descending, left circumflex, and right coronary arteries. Left-to-left shunt was estimated by measurements of coronary artery flow velocity with intravascular Doppler ultrasound.

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Selected References

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