A CASE OF MULTIPLE CORONARY ARTERY-LEFT VENTRICULAR MICRO-FISTULAS INCIDENTALLY FOUND BY PAROXYSMAL ATRIAL FIBRILLATION ATTACK

概要

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The patient is a 75-year-old woman who underwent coronary angiography for the evaluation of sinus arrest found after treatment of paroxysmal atrial fibrillation. After contrast injection the left ventricle was see to fill faintly with contrast from a diffuse plexus of fine vessels arising from the diagonal branch and posterodescending branch of right coronary artery. The feeding arteries were very fine and not dilated or tortuous. In subsequent treadmill test, negative T waves in leads V1-5 changed to positive, which suggested possible left ventricular myocardial ischemia.
名古屋市立大学の論文
2009-04-01