Article Text
Summary
We report a case of a 60-year-old man with a history of angina on exertion (New York Heart Association Class II) who was found to have mid-cavitary obstructive hypertrophic cardiomyopathy on two-dimensional echocardiography and whose coronary angiogram showed right coronary artery–left ventricular fistula, with no significant coronary atherosclerosis suggestive of ischaemic heart disease. The patient was started on beta-blocker therapy, and on follow-up his angina improved. The patient had a benign course and did not have any progressive heart failure or acute coronary syndrome on follow-up. This case report highlights a rare association of mid-cavitary obstructive hypertrophic cardiomyopathy with coronary artery fistula.
- ischaemic heart disease
- heart failure
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Footnotes
Contributors SW and HK: concepts, design, literature search, data acquisition, data analysis, manuscript preparation, manuscript editing , manuscript review, guarantor. TD: concepts, design, literature search, data acquisition, manuscript editing, manuscript review. GP: concepts, design, data acquisition, data analysis, manuscript editing, manuscript review.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.