✦ LIBER ✦

Left circumflex coronary artery to left atrial fistula in a patient with mitral stenosis: Invasive and noninvasive findings with pathophysiologic correlation

✍ Scribed by McClung, John A. ;Belkin, Robert N. ;Chaudhry, Saulat S.

Publisher: John Wiley and Sons
Year: 1996
Tongue: English
Weight: 289 KB
Volume: 37
Category: Article
ISSN: 0098-6569
DOI: 10.1002/(sici)1097-0304(199601)37:1<52::aid-ccd13>3.0.co;2-y

No coin nor oath required. For personal study only.

✦ Synopsis

We report a case of an angiographically documented fistula between the circumflex coronary artery and a left atrial appendage thrombus in a patient with mitral stenosis, flow from which can be demonstrated solely by a color doppler transesophageal echocardiogram. Evaluation of catheter derived hernodynamics and angiographic flow patterns reveals a heretofore undescribed physiologic property of coronary to atrial shunts in patients with mitral stenosis.