Congenital coronary-left ventricular fistulae. Review of the literature

Congenital communications of fistulae between coronary arteries of aortic origin and the left ventricle present two types of anatomo-coronarographic appearance, in accordance with embryological theories: single fistulae and multiple or micro-fistulae. These fistulae are marked by the absence of a continuous murmur and they can be distinguished from each other by their clinical expression: either a picture of aortic incompetence or signs of coronary insufficiency: these are the conclusions from a review of 62 cases in the literature.