Papadopoulos Dimitris P, Perakis Alexandros, Votreas Vassilis, Anagnostopoulou Sophia
Department of Cardiology, Laiko Hospital, Athens Medical School, Athens, Greece.
Hellenic J Cardiol. 2008 Mar-Apr;49(2):111-3.
A coronary artery fistula is a direct communication between a coronary artery and one of the cardiac chambers or vessels around the heart. These fistulas are usually diagnosed by coronary arteriography. Clinical presentations are variable depending on the type of fistula, shunt volume, site of the shunt, and presence of other cardiac conditions. Bilateral coronary fistulas between coronary arteries and the pulmonary artery are very rare. This report describes a 51-year-old man without any previous medical history, who presented to our hospital one hour after the acute onset of severe substernal chest pain associated with shortness of breath and nausea. Coronary angiography revealed two fistulas arising from the left anterior descending and right coronary arteries and draining at exactly the same site in the pulmonary artery. There was no evidence of atherosclerotic coronary artery disease in either the left or right coronary arterial tree.
冠状动脉瘘是指冠状动脉与心脏的一个心腔或心脏周围血管之间的直接连通。这些瘘通常通过冠状动脉造影来诊断。临床表现因瘘的类型、分流量、分流部位以及是否存在其他心脏疾病而异。冠状动脉与肺动脉之间的双侧冠状动脉瘘非常罕见。本报告描述了一名51岁男性，既往无任何病史，在严重胸骨后胸痛急性发作并伴有呼吸急促和恶心1小时后就诊于我院。冠状动脉造影显示有两条瘘管，分别起自左前降支和右冠状动脉，并在肺动脉的同一部位引流。左、右冠状动脉树均未发现动脉粥样硬化性冠状动脉疾病的证据。
