Charité - Universitaetsmedizin Berlin, Campus Virchow-Klinikum, Medizinische Klinik mit Schwerpunkt Kardiologie, Augustenburger Platz 1, 13353 Berlin, Germany.
Europace. 2012 Sep;14(9):1369-70. doi: 10.1093/europace/eus090. Epub 2012 May 23.
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.
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。