先天性冠状动脉瘘引流至右心室：经导管弹簧圈栓塞失败后手术成功闭合
Congenital coronary artery fistula draining into the right ventricle: successful surgical closure after failed transcatheter coil embolization.
作者信息
Strecker T, Hakami L, Singer H, Weyand M, Cesnjevar R
机构信息
Center of Cardiac Surgery, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.
出版信息
Thorac Cardiovasc Surg. 2006 Feb;54(1):61-3. doi: 10.1055/s-2005-865925.
Coronary artery aneurysms and fistulae are very rare congenital anomalies. They occur in 0.2-0.4 % of all congenital heart diseases. In this article, we report a case of a four-year-old girl with a right coronary artery aneurysm and fistula draining into the right ventricle. Since the transcatheter coil embolization was not successful, surgical occlusion was considered in this case. We describe and discuss the handling of the fistula and the aneurysmatic enlargement of the proximal coronary artery.
冠状动脉瘤和瘘是非常罕见的先天性异常。它们在所有先天性心脏病中占0.2 - 0.4%。在本文中，我们报告一例4岁女孩，患有右冠状动脉瘤并伴有瘘管引流至右心室。由于经导管线圈栓塞术未成功，该病例考虑进行手术封堵。我们描述并讨论了瘘管的处理以及冠状动脉近端的瘤样扩张。
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