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. 2014:2014:754703.
doi: 10.1155/2014/754703. Epub 2014 Feb 6.

Multiple multilateral coronary-cameral fistulae in a patient with minor cardiac venous system

Darko Markota  1 , Zrinko Prskalo  1 , Ivica Markota  1 , Boris Starcevic  2 , Josip Maskovic  3 , Monika Tomic  1 , Ivica Brizic  1
Affiliations

Multiple multilateral coronary-cameral fistulae in a patient with minor cardiac venous system

Darko Markota et al. Case Rep Cardiol. 2014.

Abstract

A 40-year-old man was hospitalized in the coronary care unit with chest pain and abnormal electrocardiogram. Twenty days earlier, the patient underwent laparoscopic gallbladder surgery. Due to chest pain and ischemic ECG changes, patient was subjected to coronary angiography. The selective coronary angiography revealed multiple multilateral fistulae arising from the left anterior descending artery, circumflex artery, and the right coronary artery draining to the left ventricle. Multislice computed tomography showed hypoplastic coronary sinus and minor cardiac venous system.

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Figures

Figure 1
Figure 1
The electrocardiogram at the admission.
Figure 2
Figure 2
((a), (b)) Selective coronary angiography shows multiple fistulae from the distal left anterior descending coronary artery and diagonal braches to the left ventricle (arrows).
Figure 3
Figure 3
Selective coronary angiography shows multiple fistulae from the artery circumflex to the left ventricle (arrows).
Figure 4
Figure 4
Selective coronary angiography (spider view) shows a large mass of contrast in the left ventricle (arrows).
Figure 5
Figure 5
Selective coronary angiography shows multiple fistulae from the middle and distal right coronary artery to the left ventricle (arrows).
Figure 6
Figure 6
Multislice computed tomography of heart shows minor cardiac venous system (arrows).
See this image and copyright information in PMC

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