冠状动脉瘘是一种十分少见的先天性心血管畸形,我院近遇一例,特报告如下:患者男性,27岁。间歇性左胸痛1年,加重2月,疼痛呈针刺样,持续3～5分钟而自动缓解。因肾结石术前查体发现心脏杂音而就诊。体格检查:颈静脉充盈,肝静脉回流征阳性,心尖搏动弥漫,呈抬举感,触及收缩期震颤,心界双侧扩大,主动 Coronary fistula is a very rare congenital cardiovascular malformations, hospital nearly a case, especially reported as follows: Male patient, 27 years old. Intermittent left chest pain for 1 year, increased in February, pain acupuncture-like, sustained 3 to 5 minutes and automatically relieve. Preoperative examination of kidney stones found heart murmur and treatment. Physical examination: filling of the jugular vein, positive hepatic venous reflux syndrome, perinatal beating diffuse, was lift sense, touch systolic tremor, both sides of the heart to expand, active