Najm Hani K, Jha Neerod K, Godman Michael, Al Mutairi Mansour, Rezk Ahmed I, Momenah Tarek
Department of Cardiac Surgery, King Fahad Hospital, Riyadh, Saudi Arabia.
Asian Cardiovasc Thorac Ann. 2007 Aug;15(4):335-8. doi: 10.1177/021849230701500415.
Congenital coronary-pulmonary artery fistula is rare in patients with pulmonary atresia and ventricular septal defect. The nomenclature, physiological, clinical, and surgical implications of these fistulas are yet to be defined. We report a one-year-old child with pulmonary atresia, ventricular septal defect, and a right coronary-pulmonary artery fistula who also had a diminutive, disconnected left pulmonary artery in addition to aortopulmonary collaterals. The patient underwent corrective surgery. However, the fate of diminutive pulmonary arteries is unknown. The literature was reviewed to explore the clinical or surgical implications of such fistulas for improved understanding and management in the future.
先天性冠状动脉-肺动脉瘘在肺动脉闭锁合并室间隔缺损的患者中较为罕见。这些瘘的命名、生理、临床及手术意义尚未明确。我们报告一名1岁儿童，患有肺动脉闭锁、室间隔缺损及右冠状动脉-肺动脉瘘，除主肺动脉侧支血管外，还存在一条细小且中断的左肺动脉。该患者接受了矫正手术。然而，细小肺动脉的转归尚不清楚。我们回顾了相关文献，以探讨此类瘘的临床或手术意义，以便未来能更好地理解和处理。
