[Color Doppler echocardiographic diagnosis in generalized arteriosystemic coronary fistulae].

A 60-year-old woman was referred because of retrosternal pain. Transthoracic color-coded Doppler echocardiography showed, in the apical region of the left ventricle, multiple connections between the epicardium and the left ventricular chamber. The finding was concordant with a generalized arteriosystemic coronary artery fistula. Coronarography afterwards with injection of dye into left and right coronary arteries resulted in an intense homogenous opacification of the ventricle through multiple small coronary artery fistulas. This case report represents the first description of color-coded Doppler echocardiography in the diagnosis of generalized arteriosystemic coronary artery fistulas.