Macchi R J, Fabregas R A, Chianelli H O, Bourdet J C, Lhez O, Stagnaro R
Chest. 1976 Apr;69(4):565-8. doi: 10.1378/chest.69.4.565.
A 64-year old man had a history of two myocardial infarctions recurrent episodes of paroxysmal ventricular tachycardia and hemoptysis. Cineangiocardiographic studies showed an anomalous vessel connecting the left coronary artery with a peripheral branch of the right pulmonary artery. Although several coronary obstructive lesions and abnormalities in the distribution of the circumflex branches were found, the anomaly apparently produced a real "pulmonary steal" and, thereby a worsening of the coronary insufficiency. We believe that this is the first reported case in the literature with such a coronary-pulmonary fistula. The angiographic findings are presented in detail, and the possible factors in the development of myocardial ischemia are discussed.
一名64岁男性有两次心肌梗死病史，阵发性室性心动过速反复发作，并有咯血。心血管造影研究显示，一条异常血管将左冠状动脉与右肺动脉的外周分支相连。尽管发现了几处冠状动脉阻塞性病变以及回旋支分布异常，但这种异常显然导致了真正的“肺盗血”，从而使冠状动脉供血不足恶化。我们认为这是文献中首次报道的此类冠状动脉-肺瘘病例。详细介绍了血管造影结果，并讨论了心肌缺血发生发展的可能因素。
