Fukushima Y, Onitsuka T, Kotani Y, Uchino H, Shokyu Y, Araki K, Edagawa M, Nakamura K, Yonezawa T, Shibata K
Second Department of Surgery, Miyazaki Medical College.
Kyobu Geka. 1992 Mar;45(3):254-7.
A successful treatment of coronary arteriovenous fistula with intraoperative echocardiogram and Symbas procedure is presented. The patient, a 2-year-old male, had been suffering from concealed congestive heart failure from his birth. The cardiac catheterization and angiogram revealed coronary arteriovenous fistula from LAD to right ventricle with large coronary aneurysm. In the operation, no fistula vessels were noted on the cardiac surface. Then, the intraoperative echocardiography was performed, and the fistula pour into right ventricle with aneurysm was found in the myocardium. The fistula was closed with Symbas procedure, and excellent closure could be checked with the intraoperative echocardiogram, too. After this operation, he got well under anticoagulant treatment with "ticlopidine".
本文介绍了一例通过术中超声心动图和辛巴斯手术成功治疗冠状动脉动静脉瘘的病例。该患者为一名2岁男性，自出生起就患有隐匿性充血性心力衰竭。心脏导管检查和血管造影显示，左前降支至右心室存在冠状动脉动静脉瘘，并伴有巨大冠状动脉瘤。手术中，心脏表面未发现瘘血管。随后进行术中超声心动图检查，发现心肌内有瘘口通向伴有动脉瘤的右心室。采用辛巴斯手术封闭瘘口，术中超声心动图也证实了良好的封闭效果。手术后，患者在接受“噻氯匹定”抗凝治疗后康复良好。
