de Lacerda R C, Albanesi Filho F M, Soares J P, Martins F, Castier M B
Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro.
Arq Bras Cardiol. 1991 Oct;57(4):325-9.
A 65-year-old woman developed severe coronary insufficiency associated with papillary muscle dysfunction. She was submitted to cineangiocoronarography which ruled out obstructive coronary disease. Coronarography revealed a communication between the coronary arteries and the left ventricle, but a coronary arterial fistula was not seen. The possibility of this uncommon form of coronary drainage to the left ventricle, named silent fistula, being the cause of myocardial ischemia related to the coronary steal phenomenon is discussed.
一名65岁女性出现严重冠状动脉供血不足并伴有乳头肌功能障碍。她接受了冠状动脉造影，排除了阻塞性冠状动脉疾病。冠状动脉造影显示冠状动脉与左心室之间存在交通，但未发现冠状动脉瘘。本文讨论了这种罕见的冠状动脉向左心室引流形式，即静息瘘，作为与冠状动脉窃血现象相关的心肌缺血原因的可能性。
