冠状动脉左室瘘是一种少见的先天性心血管畸型。现将笔者遇到一例报道如下。患者,男,42岁。因近4年来劳累过度及饮酒后出现心前区疼痛,于1991年10月15日入院。查体:体温38.8℃,脉博72次/分,血压17.5/9.5kpa。发育正常。两肺未闻罗音,心界不大,心率72次/分,心律规整,胸骨左缘3—4胁间可闻柔和收缩期和舒张期杂音,Az>P_2。腹部平软。肝肺未触及入院诊断:冠心病,劳累性心绞痛。入院后经甲硝心痛、心痛定、氨酰心胺等治疗,心绞痛缓解。心电图大致正常。心脏超声心内结构大致正常。心脏造影:双肺淤血, Coronary artery left ventricular fistula is a rare congenital cardiovascular malformations. I now encounter a case reported below. Patient, male, 42 years old. Due to over-exertion in the past 4 years and after drinking alcohol appeared precordial pain, admitted to hospital on October 15, 1991. Physical examination: body temperature 38.8 ℃, Pulse Bo 72 / min, blood pressure 17.5 / 9.5kpa. Normal development. Two lungs did not hear rales, the heart is not big, heart rate 72 beats / min, heart rhythm, 3-4 on the left side of the sternum between the soft symphysis symphysis systolic and diastolic murmur, Az> P_2. Abdomen soft. Liver and lung did not touch the admission diagnosis: coronary heart disease, exertional angina. After admission, meitrodine, painkillers, amidoamine and other treatment, angina ease. ECG roughly normal. Cardiac echocardiography is generally normal. Cardiac angiography: double lung congestion,