Guo Hangyuan, You Bingquan, Lee Jong-Dae
Department of Cardiology, Shaoxing People's Hospital, The First Affiliated Hospital of Medical College, Shaoxing University, Shaoxing, China.
Circ J. 2006 Sep;70(9):1223-5. doi: 10.1253/circj.70.1223.
We describe a case of dilated cardiomyopathy (DCM) caused by a coronary-pulmonary fistula and myocardial ischemia induced by the coronary steal phenomenon, which was successfully treated with coil embolization. Coronary fistulae and coronary-steal-induced ischemia are rare causes of DCM in adults with normal coronary arteries. Percutaneous treatment represents an alternative to surgery and may be offered as a relatively low-risk procedure. The choice between surgical and percutaneous treatment must take into account clinical and anatomical considerations.
我们描述了一例由冠状动脉-肺动静脉瘘引起的扩张型心肌病（DCM）以及由冠状动脉窃血现象导致的心肌缺血病例，该病例通过弹簧圈栓塞术成功治愈。冠状动脉瘘和冠状动脉窃血引起的缺血是冠状动脉正常的成年人发生DCM的罕见原因。经皮治疗是手术治疗的一种替代方法，可作为一种相对低风险的操作提供。手术治疗和经皮治疗之间的选择必须考虑临床和解剖学因素。
