Abstract
A 55-year-old woman with angina was found to have multiple fistulae from all three major coronary arteries to the left ventricle. The aortography mimicked a severe aortic insufficiency. This rare vascular anomaly can cause a coronary steal phenomenon and subsequent myocardial ischemia in patients without angiographic evidence of major atherosclerotic coronary artery disease.
MeSH terms
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Adrenergic beta-Antagonists / therapeutic use
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Angina Pectoris / diagnostic imaging
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Angina Pectoris / drug therapy
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Angina Pectoris / etiology*
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Coronary Angiography
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Coronary Vessels
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Female
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Heart Diseases / complications*
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Heart Diseases / diagnostic imaging
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Heart Ventricles / diagnostic imaging
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Humans
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Middle Aged
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Syndrome
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Vascular Fistula / complications*
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Vascular Fistula / diagnostic imaging
Substances
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Adrenergic beta-Antagonists