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右冠状动脉近端缺如,瘘管进入肺静脉。

Absent proximal right coronary artery with a fistula into the pulmonary vein.

机构信息

Charité - Universitaetsmedizin Berlin, Campus Virchow-Klinikum, Medizinische Klinik mit Schwerpunkt Kardiologie, Augustenburger Platz 1, 13353 Berlin, Germany.

出版信息

Europace. 2012 Sep;14(9):1369-70. doi: 10.1093/europace/eus090. Epub 2012 May 23.

DOI:10.1093/europace/eus090
PMID:22628451
Abstract

A 32-year-old woman was admitted with a third-degree atrioventricular block. A permanent pacemaker was implanted and the patient was discharged. One week later, the patient presented again with a sustained ventricular tachycardia. Coronary angiography and computed tomography imaging with three-dimensional reconstructions revealed the absence of the proximal part of the right coronary artery (RCA) with a fistula into the pulmonary vein. This is the first case describing an absent proximal RCA combined with a pulmonary vein fistula.

摘要

一位 32 岁女性因三度房室传导阻滞入院。植入了永久性起搏器,随后患者出院。一周后,患者再次出现持续性室性心动过速。冠状动脉造影和三维重建计算机断层成像显示右冠状动脉(RCA)近端缺失并与肺静脉瘘相通。这是首例描述近端 RCA 缺失合并肺静脉瘘的病例。

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Absent proximal right coronary artery with a fistula into the pulmonary vein.右冠状动脉近端缺如,瘘管进入肺静脉。
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引用本文的文献

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Advanced atrioventricular block and left bundle branch block in a patient with coronary artery fistula.患者冠状动脉瘘合并三度房室传导阻滞和左束支传导阻滞。
BMJ Case Rep. 2020 Dec 22;13(12):e238635. doi: 10.1136/bcr-2020-238635.
2
Congenital coronary artery fistulas complicated with pulmonary hypertension: Analysis of 211 cases.先天性冠状动脉瘘合并肺动脉高压:211例分析
World J Cardiol. 2016 Oct 26;8(10):596-605. doi: 10.4330/wjc.v8.i10.596.
3
Clinical presentation of coronary arteriovenous fistula according to age and anatomic orientation.
根据年龄和解剖方位的冠状动脉瘘临床表现
Caspian J Intern Med. 2015 Spring;6(2):108-12.