Castelo V, González-Juanatey J R, Amaro A, Iglesias C, Rubio J, Gil M
Servicio de Cardiología y Unidad Coronaria, Hospital General de Galicia-Clínico Universitario, Santiago de Compostela, La Coruña.
Rev Esp Cardiol. 1994 Jul;47(7):497-9.
A case of bilateral coronary artery fistula into main pulmonary artery which courses with crisis of angina and subepicardial ischaemic changes in anterolateral leads is presented. The interest of the case reported is based on the peculiar anatomy of the fistula; there is only an unique collector to the pulmonary artery for both fistula and they present a completely different way of emerging: an unique vessel from the right coronary artery and several vessels from the anterior descending coronary artery. Ligation of the fistula was performed successfully and postoperative course was uneventful.
本文报告一例双侧冠状动脉瘘入主肺动脉病例，该病例伴有心绞痛发作及前外侧导联心外膜下缺血性改变。所报告病例的有趣之处在于瘘管的特殊解剖结构；两条瘘管仅有一个共同的汇入肺动脉的收集器，且它们的起源方式完全不同：一条来自右冠状动脉的单一血管和几条来自冠状动脉前降支的血管。成功进行了瘘管结扎术，术后病程顺利。
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