Mukherjee D K, Banka V S, Keosathit N, Helfant R H
Chest. 1976 Jun;69(6):793-5. doi: 10.1378/chest.69.6.793.
An unusual case of coronary artery fistula, due to a stab wound in the chest in a 17-year-old male patient, with a resultant acute inferior myocardial infarction is presented. At surgery, complete transection of the right coronary artery was found, which formed a fistulous communication with both the right atrium and the right ventricle. The development of a continuous murmur in the period immediately after the injury, the absence of hemopericardium, and multiple cardiac-chamber involvements were unique features of the case. The inferior myocardial wall was akinetic due to infarction and did not improve following revascularization surgery. A brief review of the literature is also presented.
本文报道了一例不同寻常的冠状动脉瘘病例，该病例发生在一名17岁男性患者身上，由胸部刺伤所致，最终导致急性下壁心肌梗死。手术中发现右冠状动脉完全横断，形成了与右心房和右心室的瘘管交通。受伤后立即出现连续性杂音、无心包积血以及多个心腔受累是该病例的独特特征。下壁心肌因梗死而运动减弱，血管重建手术后并未改善。本文还对相关文献进行了简要综述。
