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Left circumflex coronary artery to left atrial fistula in a patient with mitral stenosis: Invasive and noninvasive findings with pathophysiologic correlation |
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| Authors: | John A. McClung Robert N. Belkin Saulat S. Chaudhry |
| Abstract: | We report a case of an angiographically documented fistula between the circumflex coronary artery and a left atrial appendage thrombus in a patient with mitral stenosis, flow from which can be demonstrated solely by a color doppler transesophageal echocardiogram. Evaluation of catheter derived hemodynamics and angiographic flow patterns reveals a heretofore undescribed physiologic property of coronary to atrial shunts in patients with mitral stenosis. © 1996 Wiley-Liss, Inc. |
| Keywords: | mitral stenosis coronary artery fistula transesophageal echocardiography coronary artery flow |