Keller F, Steldinger R, Lichey H J, Schröder R
Z Kardiol. 1979 Nov;68(11):784-7.
Under more than 200 cases of coronary vessel anomalies only 33 are fistulas from the right or left coronary artery into the left ventricle. The case presented here of a fistula from the right coronary artery into the left ventricle featured the clinical picture of an aortic valve insufficiency. The histologic findings support the theory that these fistulas are embryological anomalies: transient communications between the ventricular trabeculas and the coronary vessels may be lined with endothelium and become then persisting as fistulas.
在200多例冠状动脉异常病例中，只有33例是右冠状动脉或左冠状动脉至左心室的瘘管。本文所呈现的右冠状动脉至左心室瘘管病例具有主动脉瓣关闭不全的临床表现。组织学检查结果支持这些瘘管是胚胎学异常的理论：心室小梁与冠状动脉之间的短暂通道可能内衬内皮，然后持续存在成为瘘管。
