Roncalli Jérôme, Marachet Marie-Agnès, Rousseau Hervé, Fauvel Jean-Marie
Cardiology Department, Rangueil University Hospital, 1 avenue Jean Poulhès, TSA 50032, 31 059 Toulouse Cedex 9, France.
Cardiovasc Revasc Med. 2007 Apr-Jun;8(2):114-5. doi: 10.1016/j.carrev.2006.11.006.
The combination of coronary artery aneurysm and coronary artery fistula is infrequent. A saccular aneurysm of a branch of the left-circumflex coronary artery associated with multiple fistulae to the right atrium was observed on a coronary angiogram performed in a 47-year-old female. Multidetector computed tomography coronary angiography detailed the anatomy of the abnormal coronary artery. An embolization with a microcoil was performed and the aneurysm sac was excluded.
冠状动脉瘤与冠状动脉瘘同时存在的情况较为罕见。在一名47岁女性患者进行的冠状动脉造影检查中，发现左旋支冠状动脉的一个分支存在囊状动脉瘤，并伴有多个瘘管通向右心房。多排螺旋计算机断层扫描冠状动脉造影详细显示了异常冠状动脉的解剖结构。采用微线圈进行了栓塞治疗，动脉瘤囊被排除。
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