Delarche N, Colle J P
Polyclinique Bordeaux Nord Aquitaine, Bordeaux.
Arch Mal Coeur Vaiss. 1993 Jan;86(1):75-8.
Coronary arterio-systemic fistula is a rare condition, especially when multiple fistulae communicate with the left ventricule. The association of multiple congenital coronary artery-left ventricular fistulae and apical hypertrophy has not been previously reported. The authors report three cases, all in women, with multiple coronary artery-left ventricular fistulae and apical hypertrophy diagnosed by angiography. The association may not be coincidental as multiple microfistulae could cause abnormalities of the microcirculation and result in reactional myocardial hypertrophy.
冠状动脉-体循环瘘是一种罕见的疾病，尤其是当多个瘘管与左心室相通时。多发性先天性冠状动脉-左心室瘘与心尖肥厚的关联此前尚未见报道。作者报告了三例均为女性的病例，通过血管造影诊断为多发性冠状动脉-左心室瘘和心尖肥厚。这种关联可能并非偶然，因为多个微瘘可能导致微循环异常并引起反应性心肌肥厚。
