Nawa S, Miyachi Y, Toshino N, Shiba T, Hayashi K, Tamesue K, Yamamoto H, Shimizu N
Division of Surgery, Okayama Red Cross General Hospital, 65-1 Aoe, Okayama 700, Japan.
Cardiovasc Intervent Radiol. 1997 Jul-Aug;20(4):300-4. doi: 10.1007/s002709900155.
Among the congenital coronary artery fistulas, diffuse fistulation into the left ventricular chamber, usually expressed in terms of a coronary artery-left ventricular shunt, is not as rare today as was previously thought. However, the origin of such a shunt from all three major coronary arteries is rare. This paper reports three cases of such an occurrence and presents the clinical features and management of this rare anomaly by analyzing 31 cases, including 28 from the literature.
