2013
DOI: 10.15746/sms.13.027
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Thebesian vein Combined with Apical Hypertrophic Cardiomyopathy

Abstract: A 52-year-old woman presented with atypical chest pain. Coronary angiography demonstrated multiple microfistulae between left coronary artery and left ventricle (LV) cavity, extensive enough to produce an LV angiogram. This LV angiogram revealed apical hypertrophic cardiomyopathy (HCM) which was confirmed by echocardiography. Coronary steal phenomenon by coronary artery microfistulae and HCM might have a role for developing of angina in patient with apical HCM.

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“…However, CAFs from both coronary arteries that drain into the left ventricle (LV) are rare. Moreover, apical hypertrophic cardiomyopathy (AHCM) coexisting with CAF has been rarely reported [ 4 8 ]. We report a rare case of CAF associated with AHCM that presented with chest pain.…”
Section: Introductionmentioning
confidence: 99%
“…However, CAFs from both coronary arteries that drain into the left ventricle (LV) are rare. Moreover, apical hypertrophic cardiomyopathy (AHCM) coexisting with CAF has been rarely reported [ 4 8 ]. We report a rare case of CAF associated with AHCM that presented with chest pain.…”
Section: Introductionmentioning
confidence: 99%