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  • Title: [Coronary artery fistula between the left anterior descending branch and the left ventricle; a case report (author's transl)].
    Author: Böttcher D, Freudenberg H, Lichtlen P.
    Journal: Z Kardiol; 1977 May; 66(5):247-50. PubMed ID: 878553.
    Abstract:
    The rare case of a coronary fistula from the left anterior descending branch to the left ventricle is presented. The 38 year old woman was admitted with homonymous quadrantanopsia and hyperacusis. An abnormal Ecg and a systolic and diastolic murmur of unknown origin were discovered. Cardiac catheterization yielded normal findings. Coronary angiography demonstrated an aneurysma of the dilated left anterior descending coronary artery with a fistulous communication into the left ventricle. This congenital left to left shunt produced a typical mid-diastolic murmur clearly separated from the systolic murmur.
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