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European Journal of Echocardiography Advance Access originally published online on August 4, 2008
European Journal of Echocardiography 2009 10(1):175-177; doi:10.1093/ejechocard/jen215
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Detection of myocardial ischaemia caused by coronary artery-left ventricular fistulae using myocardial contrast echocardiography

Omar Rana1, Rosie Swallow2, Roxy Senior3 and Kim Greaves1,*

1 Department of Cardiology, Poole Hospital NHS Foundation Trust, Longfleet Road, Poole, Dorset BH15 2JB, UK
2 Department of Cardiology, Royal Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW, UK
3 Department of Cardiology, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ, UK

Received 5 June 2008; accepted after revision 17 July 2008; online publish-ahead-of-print 4 August 2008.

* Corresponding author. +44 120 244 2909; fax: +44 120 244 2754. E-mail address: kim.greaves{at}poole.nhs.uk


   Abstract

A coronary artery-left ventricular fistula (CAF) is an extremely rare anatomical abnormality in which blood drains directly from a coronary artery into the left ventricle. CAF may cause myocardial ischaemia and angina. Myocardial contrast echocardiography (MCE) is a non-invasive technique which assesses myocardial perfusion. We describe a patient with CAF in whom transmural myocardial ischaemia was demonstrated using MCE.

Keywords: Myocardial ischaemia; Coronary artery-left ventricular fistula; Myocardial contrast echocardiography


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