biostudies-literatureUnknown4(6)Chien DVCoexistence of coronary artery-to-left ventricle fistula (CALVF) and noncompaction cardiomyopathy (NCC) is rare in patients with severe multiple coronary stenosis. We report CALVF in a 70-year-old man with acute coronary syndrome (ACS) and NCC. Left ventricular ejection fraction may not improve by total revascularization in this condition. (<b>Level of Difficulty: Advanced.</b>).JACC. Case reports370-375https://www.ebi.ac.uk/biostudies/studies/S-EPMC9040107biostudies-literatureMultivessel Coronary Artery Disease in a Patient With Noncompaction Cardiomyopathy With Coronary Artery-to-Left Ventricle Fistulas.PMC9040107Chien DVTruong Son PThe Tho PNguyen Son PSon Lam PfalseMultivessel Coronary Artery Disease in a Patient With Noncompaction Cardiomyopathy With Coronary Artery-to-Left Ventricle Fistulas.Coexistence of coronary artery-to-left ventricle fistula (CALVF) and noncompaction cardiomyopathy (NCC) is rare in patients with severe multiple coronary stenosis. We report CALVF in a 70-year-old man with acute coronary syndrome (ACS) and NCC. Left ventricular ejection fraction may not improve by total revascularization in this condition. (<b>Level of Difficulty: Advanced.</b>).2022-01-01T00:00:00Z2022 Mar2025-04-04T07:44:02.312Z2025-04-04T07:44:02.312ZS-EPMC90401073549556010.1016/j.jaccas.2022.01.020