A case of progressive muscular dystrophy with numerous arterioluminal vessels.

Abstract

SUMMARYA 48-year-old man had histologically demonstrated cardiac involvement associated with progressive muscular dystrophy. On coronary arteriography, numerous vascular communications between the coronary arteries and the left ventricular chamber were found. These vascular communications are considered to be the arterioluminal vessels. This is the first report of a case of progressive muscular dystrophy with numerous arterioluminal vessels. Additional Indexing Words: Coronary arteryCardiac luminal anastomoses Cardiomyopathy ARDIAC involvement in patients with progressive muscular dystrophy has been reported, namely, cardiomyopathy and various kinds of electrocardiographic abnormalities.1),2) There have been, however, only a few descriptions concerning abnormalities of the coronary artery in patients with progressive muscular dystrophy.3),4) CASE REPORTA 48-year-old man, an office clerk, had been well until his mid forties, when he became aware of difficulty in moving his extremities and bending the trunk. In the few weeks before hospitalization tachyarrhythmias occurred frequently.He had no past history of note. Physical examination revealed a thin man who , was 173cm tall and weighed 43kg.His blood pressure was 122/72mmHg and heart rate was 92 beats per minute with an irregular rhythm.No heart murmur was audible and the lungs were clear. There was symmetric muscle atrophy of the hip, shoulder, upper and lower extremities, being prominent in the proximal porFrom the First