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Congenital fistula between the left ventricle and coronary sinus: elucidation by colour Doppler flow mapping.
  1. J P Gnanapragasam,
  2. A B Houston,
  3. S Lilley
  1. Department of Cardiology, Royal Hospital for Sick Children, Glasgow.


    A fistula between the left ventricle and the coronary sinus was diagnosed by Doppler echocardiography and confirmed by cardiac catheterisation in a symptom free child who presented with clinical signs of mitral regurgitation. A similar abnormality has been reported after repeated mitral valve replacement and after myocardial infarction but a congenital fistula of this type has not been described before.

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