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[冠状动脉瘘,其诊断与治疗]

[Coronary fistulas, their diagnosis and treatment].

作者信息

Simek P, Vítek B, Cerný J, Nicovský J

机构信息

Centrum kardiovaskulární a transplantacní chirurgie, Brno.

出版信息

Cesk Pediatr. 1992 Feb;47(2):89-91.

PMID:1572019
Abstract

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.

摘要

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。

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