PT  - JOURNAL ARTICLE
AU  - A. Meissner
AU  - M. Lins
AU  - G. Herrmann
AU  - R. Simon
TI  - Multiple coronary artery-left ventricular fistulae: haemodynamic quantification by intracoronary Doppler ultrasound.
AID  - 10.1136/hrt.78.1.91
DP  - 1997 Jul 01
TA  - Heart
PG  - 91--93
VI  - 78
IP  - 1
4099  - http://heart.bmj.com/content/78/1/91.short
4100  - http://heart.bmj.com/content/78/1/91.full
SO  - Heart1997 Jul 01; 78
AB  - 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.