Simek P, Vítek B, Cerný J, Nicovský J
Centrum kardiovaskulární a transplantacní chirurgie, Brno.
Cesk Pediatr. 1992 Feb;47(2):89-91.
Congenital coronary fistulas diagnosed from systolic-diastolic murmurs were detected in 10 patients. They were verified and located by coronarography in six patients between the right coronary artery and right atrium, right ventricle and pulmonary artery; in four patients between the left coronary artery and pulmonary artery and sinus coronarius cordis. In five patients followed marked left-right shunt the fistula was surgically eliminated by a very favourable postoperative course.
通过收缩期-舒张期杂音诊断出的先天性冠状动脉瘘在10例患者中被发现。其中6例患者经冠状动脉造影证实并定位,瘘管位于右冠状动脉与右心房、右心室和肺动脉之间;4例患者的瘘管位于左冠状动脉与肺动脉及冠状窦之间。5例出现明显左右分流的患者接受了手术,术后恢复良好,瘘管被成功消除。