Gazi University Medical School, Cardiology Department, Ankara, Turkey.
J Cardiol. 2009 Oct;54(2):317-21. doi: 10.1016/j.jjcc.2008.12.009. Epub 2009 Feb 12.
Coronary artery fistulae are very rare congenital anomalies which constitute 0.2-0.4% of all congenital heart diseases. The right chambers of the heart are the most frequent communication site of the coronary fistulae and may cause hemodynamic impairment in the coronary circulation. The fistulae arise frequently from right coronary and left anterior descending arteries. Fistulae from left circumflex artery are very rare. We report a case in which transcatheter embolization was performed with 3-mm Guglielmi detachable coils in a young adult with a rare type of congenital fistula originating from the circumflex artery and draining into the coronary sinus.
冠状动脉瘘是一种非常罕见的先天性畸形，占所有先天性心脏病的 0.2-0.4%。心脏的右腔是冠状动脉瘘最常见的沟通部位，可能导致冠状动脉循环的血液动力学损害。瘘管通常起源于右冠状动脉和左前降支。来自左旋支的瘘管非常罕见。我们报告了一例年轻成人的罕见型先天性瘘管，瘘管起源于回旋支并引流至冠状窦，采用 3 毫米的 Guglielmi 可解脱线圈进行了经导管栓塞。
