Lloyd T R
Department of Pediatrics (Cardiology), University of Arizona College of Medicine, Tucson 85724.
Pediatr Cardiol. 1991 Oct;12(4):227-8. doi: 10.1007/BF02310571.
A case of coronary artery to pulmonary artery fistula presented with the typical clinical findings of asymptomatic precordial continuous murmur and small left-to-right shunt. Echocardiography with color flow mapping failed to demonstrate the fistula on three occasions, including one study performed after angiographic demonstration of the fistula site. This case illustrates the importance of angiography in patients with unexplained continuous murmurs, even when echocardiographic and color flow mapping results are normal.
一例冠状动脉至肺动脉瘘患者表现出典型的临床症状，即无症状的心前区连续性杂音和小的左向右分流。三次经胸超声心动图彩色血流成像均未能显示该瘘管，其中一次检查是在血管造影显示瘘管部位之后进行的。该病例说明了血管造影在不明原因连续性杂音患者中的重要性，即使超声心动图和彩色血流成像结果正常时也是如此。
