Multiple Coronary Artery Microfistulas Associated with Apical Hypertrophic Cardiomyopathy: Left and Right Coronary Artery to the Left Ventricle

Figure 4

Doppler echocardiography. Color signal visible through the multiple coronary artery fistulas, which directly communicated with the left ventricle, as seen in the apical four-chamber view (left). Pulsed wave Doppler image confirming the diastolic flow of the coronary artery fistulas (right).