以细菌性心内膜炎为表现的冠状动脉瘘

Coronary artery fistula presenting as bacterial endocarditis.

作者信息

Kasravi Babak, Reid Cheryl L, Allen Byron J

机构信息

Department of Medicine, Division of Cardiology, University of California Irvine Medical Center, Orange 92868-4080, USA.

出版信息

J Am Soc Echocardiogr. 2004 Dec;17(12):1315-6. doi: 10.1016/j.echo.2004.06.028.

DOI:10.1016/j.echo.2004.06.028

PMID:15562274

Abstract

Coronary artery fistula is often considered to be a benign and rare congenital anomaly. It is usually an incidental finding encountered during routine cardiac catheterization. We report a case of a patient presenting with endocarditis involving a large coronary artery fistula connecting an aneurysmal circumflex coronary artery to the coronary sinus. The diagnosis was initially made by echocardiography and confirmed by cardiac catheterization. In addition, we briefly discuss the literature on management of this coronary anomaly.

摘要

冠状动脉瘘通常被认为是一种良性且罕见的先天性异常。它通常是在常规心脏导管检查时偶然发现的。我们报告一例患者，其患有心内膜炎，累及一条将回旋支冠状动脉瘤与冠状窦相连的大型冠状动脉瘘。诊断最初通过超声心动图做出，并经心脏导管检查证实。此外，我们简要讨论了关于这种冠状动脉异常处理的文献。