用于快速增大冬眠型冠状动静脉瘘的混合疗法。

Hybrid therapy for rapid enlargement of hibernating coronary arteriovenous fistulas.

作者信息

Oyamada Shizu, Kobayashi Junjiro, Tagusari Osamu, Niwaya Kazuo, Nakajima Hiroyuki, Miyazaki Shunichi, Kimura Kohji, Echigo Shigeyuki, Kitamura Soichiro

机构信息

Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.

出版信息

Ann Thorac Surg. 2007 Apr;83(4):1532-4. doi: 10.1016/j.athoracsur.2006.10.004.

DOI:10.1016/j.athoracsur.2006.10.004

PMID:17383378

Abstract

The use of hybrid therapy for recurrent multiple coronary arteriovenous fistulas in a 56-year-old woman is reported. The patient underwent surgical closure of a coronary arteriovenous fistula of the right coronary artery under cardiopulmonary bypass at 47 years of age. Reoperation was required 9 years later for recurrence of the same fistula. It was divided under a beating heart. Early postoperative angiography showed complete occlusion of the right coronary fistula. However, hibernating fistulas of the left circumflex artery, which had been left untouched because of insignificant shunt with no remarkable change for 9 years, increased in size rapidly. Transcatheter embolization was successfully performed for these residual fistulas.

摘要

报道了一名56岁女性复发性多发性冠状动脉动静脉瘘的杂交治疗应用。该患者47岁时在体外循环下接受了右冠状动脉冠状动脉动静脉瘘的手术闭合。9年后因同一瘘管复发需要再次手术。在心脏跳动下将其分离。术后早期血管造影显示右冠状动脉瘘完全闭塞。然而，左旋支动脉的冬眠瘘管，由于分流不明显且9年无明显变化而未处理，其大小迅速增加。对这些残余瘘管成功进行了经导管栓塞治疗。