Interventional Cardiology, Department of Cardiovascular Medicine, S. Camillo Forlanini Hospital, Rome, Italy.
J Cardiovasc Med (Hagerstown). 2010 Aug;11(8):605-9. doi: 10.2459/JCM.0b013e3283313504.
Coronary artery fistulas (CAFs) are rare congenital or acquired anomalies characterized by an abnormal communication between the coronary arteries and the cardiac chambers or great vessels. Most patients are asymptomatic during childhood but symptoms and complications have been reported with advancing age. Until recently, surgery was the routine mode of treatment for CAFs but, today transcatheter closure is recommended using a variety of devices, such as occlusion coils, vascular plugs, umbrella devices and covered stents. The case described here is of a 47-year-old woman with a large bilateral CAF draining into the pulmonary artery, successfully treated by implantation of two Amplatzer vascular plugs using a telescoping catheter technique.
冠状动脉瘘（CAF）是一种罕见的先天性或后天性异常，其特征为冠状动脉与心脏腔室或大血管之间存在异常交通。大多数患儿在儿童期无症状，但随着年龄的增长，有症状和并发症的报道。直到最近，手术一直是 CAF 的常规治疗模式，但如今推荐使用各种装置（如闭塞线圈、血管塞、伞状装置和覆膜支架）经导管进行封堵。本文报道了一例 47 岁女性，双侧冠状动脉瘘粗大且均引流至肺动脉，采用伸缩导管技术植入两枚 Amplatzer 血管塞成功治疗。
