一名86岁女性的冠状动脉异常至肺动脉瘘及动脉瘤
Anomalous coronary to pulmonary artery fistula and aneurysm in an 86-year-old female.
作者信息
Carr John Alfred, Al-Sadir Jafar, Jeevanandam Valluvan
机构信息
Department of Cardiothoracic Surgery, University of Chicago, IL 60637, USA.
出版信息
J Card Surg. 2006 Mar-Apr;21(2):188-90. doi: 10.1111/j.1540-8191.2006.00209.x.
Abstract
An anomalous coronary artery to pulmonary artery fistula with concomitant aneurysmal dilation is quite rare, especially in the elderly. We present a case report of an 86-year-old female who presented with congestive heart failure from severe mitral regurgitation and was found to have such a coronary anomaly on preoperative angiography. The natural history, diagnosis, and treatment options are discussed.
摘要
一支异常冠状动脉至肺动脉的瘘管合并动脉瘤样扩张十分罕见，尤其在老年人中。我们报告一例86岁女性病例，该患者因严重二尖瓣反流出现充血性心力衰竭，术前血管造影发现存在此类冠状动脉异常。文中讨论了其自然病史、诊断及治疗选择。
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