Department of Cardiology, Ankara Numune Education and Research Hospital, Talatpaşa Bulvari, Sihhiye, Ankara, Turkey.
Cardiol J. 2011;18(3):307-9.
A 58 year-old Caucasian man was admitted to the coronary care unit with angina pectoris. There were deep inverted T waves and ST segment depression at anterior precordial derivations. Coronary angiography revealed widespread coronary artery to left ventricular microfistulae arising from distal portions of both left and right coronary systems. Left ventriculography and transthoracic echocardiography revealed typical features of apical hypertrophic cardiomyopathy. Angina pectoris was alleviated by beta-blocker therapy. Both multiple coronary artery to left ventricular microfistulae and apical hypertrophic cardiomyopathy are rare conditions and little is known about pathophysiological and clinical aspects of this combination. Accumulating evidence will provide us this information so that the management of the patients will be enhanced.
一位 58 岁的白人男性因心绞痛被收入冠心病监护病房。前胸前壁导联有深倒 T 波和 ST 段压低。冠状动脉造影显示广泛的冠状动脉左心室微小瘘管，起源于左右冠状动脉系统的远端。左心室造影和经胸超声心动图显示典型的心尖肥厚型心肌病特征。心绞痛通过β受体阻滞剂治疗得到缓解。多发性冠状动脉左心室微小瘘管和心尖肥厚型心肌病均属罕见情况，对这种联合情况的病理生理学和临床方面了解甚少。随着更多的证据出现，将为我们提供这些信息，从而改善患者的治疗。
