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1例经64层螺旋CT显示的冠状动脉瘘病例。

A case of coronary artery fistula visualized by 64-slice multidetector CT.

作者信息

Versaci Francesco, Del Giudice Costantino, Sperandio Massimiliano, Simonetti Giovanni, Chiariello Luigi

机构信息

University of Rome Tor Vergata, Rome, Italy.

出版信息

Nat Clin Pract Cardiovasc Med. 2009 Jan;6(1):57-60. doi: 10.1038/ncpcardio1413.

DOI:10.1038/ncpcardio1413
PMID:19088729
Abstract

BACKGROUND

A 27-year-old woman was admitted to hospital with a 1-year history of mild dyspnea.

INVESTIGATIONS

Physical examination, chest radiography, electrocardiography, transthoracic echocardiography, 64-slice multidetector CT and coronary angiography.

DIAGNOSIS

Fistula originating from the left anterior coronary artery and draining into the right ventricle, in conjunction with an aneurysm of the left anterior descending artery.

MANAGEMENT

Surgical closure of the fistula using normothermic cardiopulmonary bypass.

摘要

背景

一名27岁女性因有1年轻度呼吸困难病史入院。

检查

体格检查、胸部X线摄影、心电图、经胸超声心动图、64层螺旋CT及冠状动脉造影。

诊断

起源于左前冠状动脉并引流至右心室的瘘管,合并左前降支动脉瘤。

治疗

使用常温体外循环对瘘管进行手术闭合。

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Diagnostic and therapeutic approach of congenital solitary coronary artery fistulas in adults: Dutch case series and review of literature.

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Female gender and the risk of rupture of congenital aneurysmal fistula in adults.女性与成人先天性动脉瘤样瘘破裂风险
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Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization.婴幼儿冠状动脉瘘:手术回顾及弹簧圈栓塞术探讨
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