Lee M L, Chaou W T
Department of Pediatrics, Changhua Christian Hospital, Taiwan.
J Thorac Imaging. 2000 Apr;15(2):153-6. doi: 10.1097/00005382-200004000-00013.
Congenital coronary artery fistula is a rare anomaly that can cause several types of morbidity as well as mortality. Recently, transcatheter coil embolization for congenital coronary artery fistula has been advocated as an effective alternative to surgical repair and is associated with a low morbidity and good clinical outcome. We report a 49-day-old infant who had tachycardia, tachypnea, prolonged and interrupted feeding, cardiomegaly, and continuous murmur, and who underwent successful transcatheter coil embolization for a congenital right coronary artery fistula. At review 1 year after coil occlusion showed that serial plain chest radiographs, myocardial enzyme analysis, electrocardiography, and wall motion on echocardiography were normal.
先天性冠状动脉瘘是一种罕见的异常情况，可导致多种类型的发病甚至死亡。近来，经导管线圈栓塞术被认为是先天性冠状动脉瘘手术修复的一种有效替代方法，且发病率低、临床效果良好。我们报告一例49日龄婴儿，该婴儿有心动过速、呼吸急促、喂养时间延长且中断、心脏扩大及连续性杂音，因先天性右冠状动脉瘘接受了成功的经导管线圈栓塞术。在栓塞术后1年的复查中，系列胸部X线平片、心肌酶分析、心电图及超声心动图的壁运动均正常。
