Zhuang J, Zhang J, Luo Z
Department of Surgery, Guangdong Cardiovascular Institute, Guangzhou.
Zhonghua Wai Ke Za Zhi. 1997 Aug;35(8):493-5.
Twenty-two patients underwent surgical treatment of coronary artery fistulas. The right coronary artery was the most common vessel of origin (68.2%), and the most frequent drainage site was the right ventricle (45.4%). The operation was performed with the use of extracorporeal circulation in 21 patients. Only one patient underwent distal ligation without the use of extracorporeal circulation. The absence of operative mortality and severe postoperative complication provide clear indications for surgical treatment. In view of currently improved and standardized techniques of extracorporeal circulation, we believe that it should be employed routinely.
22例患者接受了冠状动脉瘘的外科治疗。右冠状动脉是最常见的起源血管（68.2%），最常见的引流部位是右心室（45.4%）。21例患者在体外循环下进行手术。仅1例患者未使用体外循环进行远端结扎。无手术死亡和严重术后并发症明确表明了手术治疗的指征。鉴于目前体外循环技术的改进和标准化，我们认为应常规使用。
