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European Journal of Echocardiography 2006 7(4):326-329; doi:10.1016/j.euje.2005.06.006
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Copyright © 2005, The European Society of Cardiology

Coronary artery–left ventricular fistulae associated with apical hypertrophic cardiomyopathy

Omer Alyan, Ozcan Ozeke* and Zehra Golbasi

Yuksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey

Received 25 January 2005; received in revised form 15 May 2005; accepted after revision 1 June 2005.

* Corresponding author. Turkiye Yuksek Ihtisas Hastanesi, Kardiyoloji Klinigi, Sihhiye, 06100 Ankara, Turkey. Tel.: +90 505 383 67 73. ozcanozeke{at}hotmail.com


  Abstract

We describe an unusual case of coronary artery–left ventricular fistulae associated with apical hypertrophic cardiomyopathy in a 63-year-old man who had a 2-year history of angina pectoris without significant coronary atherosclerosis. It is important to recognize this anomaly as it may be the source of angina in patients without angiographic evidence of major atherosclerotic coronary artery disease.

Keywords: Coronary artery–left ventricular fistulae; Coronary steal; Apical hypertrophic cardiomyopathy


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