Jebara V A, Corbi P, Dreyfus G, Acar C, Chachques J C, Rovani X, Chauvaud S, Fabiani J N, Deloche A, Carpentier A
Service de Chirurgie Cardiovasculaire, Hôpital Broussais, Paris.
Ann Radiol (Paris). 1991;34(3):195-8.
Acquired coronary cardiac fistulas are rare. To date, thirty cases have been published in the literature, all secondary to thoracic trauma. The right cardiac chambers were more frequently involved. A recent continuous cardiac murmur is the most constant finding. Nontreated, these lesions tend to induce coronary insufficiency and congestive heart failure. 22 of the 30 reported cases were managed surgically. We hereby report a case of postoperative coronary cardiac fistula secondary to left ventricular venting, in which the fistula involved the left ventricular cavity.
获得性冠状动脉瘘罕见。迄今为止，文献中已报道30例，均继发于胸部创伤。右心腔受累更为常见。近期出现的连续性心脏杂音是最常见的表现。若不治疗，这些病变往往会导致冠状动脉供血不足和充血性心力衰竭。30例报告病例中有22例接受了手术治疗。我们在此报告1例左心室排气术后继发的冠状动脉瘘病例，该瘘累及左心室腔。
