Millaire A, Goullard L, De Groote P, Ducloux G
Division of Cardiology, Hôpital Cardiologique, Centre Hospitalier Régional Universitaire, Lille, France.
Can J Cardiol. 1992 Nov;8(9):917-20.
An 81-year-old woman presenting with severe congestive heart failure was found to have a congenital right coronary fistula draining into the superior vena cava. The diagnosis was suspected on transthoracic two-dimensional echo-Doppler study and confirmed with coronary angiography. Transesophageal echocardiography and magnetic resonance imaging were nondiagnostic. An attempt to close the fistula with transcatheter embolization using a detachable latex balloon was unsuccessful because of the very large size of the fistula. Follow-up showed a favorable outcome with medical therapy. Despite the advent of more recent diagnostic and therapeutic techniques, management of such large fistulae remains unresolved.
一名81岁患有严重充血性心力衰竭的女性被发现存在先天性右冠状动脉瘘，瘘管引流至上腔静脉。经胸二维超声多普勒检查怀疑有此诊断，冠状动脉造影予以确诊。经食管超声心动图和磁共振成像检查未能明确诊断。尝试使用可分离乳胶球囊经导管栓塞术闭合瘘管，但因瘘管尺寸非常大而未成功。随访显示药物治疗效果良好。尽管出现了更新的诊断和治疗技术，但此类大瘘管的治疗仍未解决。
