Patterson Mark S, Vaina Sophia, Serruys Patrick W
Amsterdam Department of Interventional Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
Catheter Cardiovasc Interv. 2008 Aug 1;72(2):259-62. doi: 10.1002/ccd.21608.
Coronary fistulae, defined as communications between coronary arteries and cardiac chambers or veins, are uncommon. We present a case where a fistula was inadvertently caused by the surgical anastomosis of an arterial coronary artery bypass graft to a coronary vein. This produced two coronary problems, the unrevascularized Cx territory and a coronary arteriovenous fistula, and left the patient with symptoms. Each of these problems was addressed in a tailored percutaneous intervention by deploying ostial and distal stents to revascularize the Cx, followed by coils to block the distal section of the graft.
冠状动脉瘘是指冠状动脉与心腔或静脉之间的异常通道，较为罕见。我们报告一例因冠状动脉旁路移植术将动脉移植物与冠状静脉意外吻合而导致的瘘管病例。这引发了两个冠状动脉问题，即未再血管化的回旋支区域和冠状动脉动静脉瘘，使患者出现症状。针对每个问题，我们采取了定制的经皮介入治疗，先在开口处和远端置入支架以使回旋支再血管化，随后使用弹簧圈封堵移植物的远端部分。
