Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Multiple microvessels extending from the coronary arteries to the left ventricle in a middle aged female presenting with ischaemic chest pain: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access Multiple microvessels extending from the coronary arteries to the left ventricle in a middle aged female presenting with ischaemic chest pain a case report Robert J MacFadyen 1 Chetan Varma1 and Robert H Anderson2 Address University Department of Medicine and Department of Cardiology City Hospital Dudley Road Birmingham B18 7QH UK and 2Cardiac Unit Institute of Child Health University College London UK Email Robert J MacFadyen - Chetan Varma - Robert H Anderson - Corresponding author Published 10 December 2007 Received 27 June 2007 Accepted 10 December 2007 Journal of Medical Case Reports 2007 1 177 doi 1752-1947-1-177 r This article is available from http content 1 1 177 2007 MacFadyen et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Possible ischaemic chest pain presentations are exceedingly common. Angiographic triage of clinical electrocardiographic or biomarker positive presentations is increasingly feasible with the expansion of cardiac catheterization facilities. This management pattern often extends to problem patients with negative biomarker screens whose symptoms appear unstable. With invasive triage even very rare congenital or developmental coronary anomalies will be more frequently recognized although their relationship to ischaemia can be confounded by association. In this a case we report a woman with widespread direct coro-ventricular micro-channel formation across the heart and an ischaemic presentation despite angiographically normal epicoronary vessels. This pattern while very rare needs to be recognized as .
