Lisanti P, Serino W, Petrone M
Dipartimento di Cardiologia, Ospedale S. Carlo, Potenza.
G Ital Cardiol. 1988 Oct;18(10):858-61.
A 50 year-old man had a history of crescendo exertional angina. Echocardiographic and electrocardiographic findings were typical of apical hypertrophic cardiomyopathy. Selective coronary angiography showed no atherosclerotic lesions, but there was a stream of dye into the left ventricle, via a tiny plexus of intramural vessels, from the distal third of the anterior descending coronary artery. The origin of myocardial ischemia has been related to a "steal" phenomenon, while this vascular anomaly could represent a disorder of the thebesian system, possibly due to the "disarray" of myocardial cells typical of hypertrophic cardiomyopathy.
一名50岁男性有进行性劳力性心绞痛病史。超声心动图和心电图检查结果符合心尖肥厚型心肌病的典型表现。选择性冠状动脉造影显示无动脉粥样硬化病变，但有一股造影剂从前降支冠状动脉远端三分之一处，经微小的壁内血管丛流入左心室。心肌缺血的原因与“窃血”现象有关，而这种血管异常可能代表了心最小静脉系统的紊乱，可能是由于肥厚型心肌病典型的心肌细胞“排列紊乱”所致。
