严重冠心病病例的慢性心力衰竭(CHF)和心室扩张,大多同左室壁坏死和疤痕形成有关,但有个别例外(原因未明)。本文报告一组这类少见病例的尸检资料。方法:作者复习了美国国家心、肺和血液研究所近7,500例尸检的心脏病理诊断。18(男16、女2)例列入本组,其标准为:(1)至少一支心外膜冠状动脉主支因粥样斑块导致狭窄,其管腔横截面积减少75%以上;(2)左室或室间隔未见坏死或纤维化;(3) Chronic heart failure (CHF) and ventricular dilatation in patients with severe coronary artery disease are mostly associated with left ventricular wall necrosis and scarring with a few exceptions (unexplained). This article reports autopsy data from a group of these rare cases. METHODS: The authors reviewed the cardiopathological diagnosis of nearly 7,500 autopsies from the National Heart, Lung and Blood Institute. 18 (male 16, female 2) cases included in this group, the criteria for: (1) at least one of the main branches of the epicardial coronary artery due to atherosclerotic plaque led to the narrowing of the lumen cross-sectional area of ​​more than 75% (2) No necrosis or fibrosis is seen in the left ventricle or in the septum; (3)