应用术前多层螺旋 CT 于双侧冠状动脉瘘。

Applying preoperative multidetector computed tomography to bilateral coronary artery fistulas.

机构信息

Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

出版信息

J Chin Med Assoc. 2010 Aug;73(8):431-4. doi: 10.1016/S1726-4901(10)70092-7.

DOI:10.1016/S1726-4901(10)70092-7

PMID:20728855

Abstract

Coronary artery fistula arising from both the right coronary artery and the circumflex coronary artery is rare. A 28-year-old woman with non-insulin-dependent diabetes mellitus and end-stage renal disease who was on regular hemodialysis complained of recent progressive exertional dyspnea. Congestive heart failure was diagnosed during work-up for simultaneous kidney and pancreas transplantation. Bilateral coronary fistulas draining into the coronary sinus were found by coronary angiography and further characterized by multidetector computed tomography followed by 3D reconstruction preoperatively. The operation was performed smoothly without heart arrest.

摘要

发自右冠状动脉和回旋支的冠状动脉瘘非常罕见。一位 28 岁的女性，患有非胰岛素依赖型糖尿病和终末期肾病，正在进行常规血液透析，主诉近期进行性劳力性呼吸困难。在进行同时进行肾和胰腺移植的检查过程中诊断为充血性心力衰竭。冠状动脉造影发现双侧冠状动脉瘘均流入冠状窦，并通过多排 CT 进一步进行术前 3D 重建。手术顺利进行，无需心脏停搏。