Badak Ozer, Akdeniz Bahri, Goldeli Ozhan
Department of Cardiology, School of Medicine, Dokuz Eylul University, 35340, Inciralti, Izmir, Turkey.
Int J Cardiovasc Imaging. 2006 Dec;22(6):785-9. doi: 10.1007/s10554-006-9115-6. Epub 2006 Jun 20.
We present a patient with chest pain and suspicious findings in electrocardiography and myocardial perfusion scintigraphy for myocardial ischemia. Coronary angiography and then echocardiography and magnetic resonance imaging revealed a dilated left anterior descending coronary artery, which has fistulous communication with a large, separate chamber that occupies the infero-apical interventricular septum. This is a challenging congenital anomaly for a clinician in many aspects, which are discussed in the report.
我们报告一名出现胸痛的患者，其心电图和心肌灌注闪烁扫描有可疑的心肌缺血表现。冠状动脉造影检查，随后进行的超声心动图和磁共振成像显示左前降支冠状动脉扩张，该血管与一个占据室间隔下尖部的大的独立腔室存在瘘管交通。这是一种在很多方面给临床医生带来挑战的先天性异常，本报告对此进行了讨论。
