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European Heart Journal 1987 8(11):1260-1263;
Copyright © 1987 by the European Society of Cardiology.
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© 1987 The European Society of Cardiology

A case of four coronary artery fistulae originating from three vessels associated with aneurysm

K. OGINO, I. HISATOME, H. KOTAKE, T. FURUSE, H. MASHIBA, H. KURODA* and T. MORI*

First Department of Internal Medicine
* Second Department of Surgery, Tottori University School of Medicine Yonago, 683, Japan

Received 29 January 1987; revised 14 April 1987; .

Dr K Ogino, The First Department of Internal Medicine, Totton University, Nishimachi, 36–1, Yonago, 683, Japan.

A case of an aneurysm associated with four coronary artery fistulae originating from three vessels is reported. The patient, a 52-year-old woman, had chest heaviness and palpitations. Coronary arteriography reveaed the four fistulae originating from three coronary vessels with an aneurysm draining into the left ventricle and the main pulmonary artery.The patient's symptoms were relieved after fistulectomy and the aneurysmectomy, suggesting that a coronary steal phenomenon through the fistulae was the cause of her symptoms. This case is of interest because of its rarity, since this is the first case report of an aneurysm associated with four coronary artery fistulae from three vessels.

Key Words: Coronary artery fistula • aneurysm • coronary arteriogram • angina pectoris • steal phenomenon


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[Abstract] [PDF]


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