Sharma S, Talwar K K, Rajani M
Department of Cardiovascular Radiology, All India Institute of Medical Sciences, New Delhi.
Cardiovasc Intervent Radiol. 1993 Mar-Apr;16(2):111-3. doi: 10.1007/BF02602991.
We report a patient with nonspecific aortoarteritis (Takayasu's disease) in whom occlusion of the right upper lobe pulmonary artery was associated with collateral flow from the left circumflex coronary artery. Coronary to pulmonary artery collaterals are rare in this disease but have important clinical implication because of their ability to produce coronary steal and myocardial ischemia. Awareness of these pathways is essential for their detection in patients with angina-like symptoms and for differentiation of myocardial ischemia due to direct coronary artery involvement by this disease.
我们报告了一名患有非特异性主动脉动脉炎（高安氏病）的患者，其右上叶肺动脉闭塞并伴有左旋冠状动脉的侧支血流。冠状动脉至肺动脉的侧支在这种疾病中很少见，但因其能够导致冠状动脉窃血和心肌缺血而具有重要的临床意义。了解这些侧支通路对于在有类心绞痛症状的患者中检测它们以及区分因该疾病直接累及冠状动脉所致的心肌缺血至关重要。
