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.
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.
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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