Shrivastava V, Akowuah E, Cooper G J
Department of Cardiothoracic Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK.
Heart. 2003 Jan;89(1):e4. doi: 10.1136/heart.89.1.e4.
Coronary artery aneurysms are uncommon and may be complicated by rupture, thromboembolic phenomenon, and more rarely fistulation into one of the cardiac chambers. This case report highlights the difficulty in making a preoperative diagnosis of a coronary artery aneurysm that has fistulated into the right atrium, and lists possible differential diagnoses.
冠状动脉瘤并不常见,可能会并发破裂、血栓栓塞现象,更罕见的是形成与心腔之一的瘘管。本病例报告强调了术前诊断已形成右心房瘘的冠状动脉瘤的困难,并列出了可能的鉴别诊断。