Kumar Anil, Murtaza Mohammed, Yazdanfar Shahriar
Department of Medicine, Sound Shore Medical Centre of Westchester, New York Medical College, New Rochelle, New York 10802, USA.
Indian Heart J. 2009 Mar-Apr;61(2):211-3.
Coronary artery fistulae are uncommon form of coronary anomalies, often diagnosed incidentally during coronary arteriography. Dual origin of fistulae from both coronary arteries draining into the pulmonary arterial branches is extremely rare and their natural history is unknown. In this report, we present a case of middle aged female with an incidental finding of bilateral coronary artery to pulmonary artery fistulae on coronary arteriography, which was followed clinically for 5 1/2 years with conservative treatment, remaining in NYHA class I to II with no symptoms directly related to her coronary artery fistulae.
冠状动脉瘘是一种少见的冠状动脉异常形式，常在冠状动脉造影时偶然被诊断出来。瘘管双起源于双侧冠状动脉并引流至肺动脉分支极为罕见，其自然病史尚不清楚。在本报告中，我们呈现了一例中年女性，在冠状动脉造影时偶然发现双侧冠状动脉至肺动脉瘘，临床随访5年半，采用保守治疗，心功能纽约心脏协会（NYHA）分级一直维持在I至II级，无与冠状动脉瘘直接相关的症状。
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