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回旋冠状动脉巨大先天性瘘管,瘘管流入右心房。

Giant congenital fistula of the circumflex coronary artery with drainage into right atrium.

机构信息

Cardiovascular Surgery, Department of Experimental and Clinical Medicine, University Magna Graecia of Catanzaro, Catanzaro, Italy.

出版信息

Heart Lung Circ. 2012 Dec;21(12):809-10. doi: 10.1016/j.hlc.2012.05.002. Epub 2012 May 31.

DOI:10.1016/j.hlc.2012.05.002
PMID:22658633
Abstract

A dilated and tortuous fistula from circumflex coronary artery draining into the right atrium was diagnosed by transthoracic echocardiography and selective angiography in a 64-year old female. Transcatheter closure was excluded by the cardiologist because of the presence of a large huge at the drainage site so the patient was scheduled for surgical ligation. Intraoperative and postoperative controls were performed by echocardiography. The Authors discuss on differential diagnosis, indications and types of treatment in all cases presenting coronary artery fistula.

摘要

经胸超声心动图和选择性血管造影诊断一位 64 岁女性患者的回旋支冠状动脉扩张迂曲瘘,瘘管引流至右心房。由于引流部位有一个大的巨大瘤,心内科医生排除了经导管封堵的可能,因此患者被安排进行手术结扎。术中及术后均经超声心动图进行了检查。作者讨论了所有冠状动脉瘘患者的鉴别诊断、适应证和治疗类型。

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Giant congenital fistula of the circumflex coronary artery with drainage into right atrium.回旋冠状动脉巨大先天性瘘管,瘘管流入右心房。
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Surgical exclusion of a symptomatic circumflex coronary to right atrium fistula.有症状的左旋支冠状动脉至右心房瘘的手术封堵。
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引用本文的文献

1
Coronary arterovenous fistula: to treat or not to treat?冠状动脉瘘:治疗还是不治疗?
J Cardiothorac Surg. 2015 Apr 7;10:52. doi: 10.1186/s13019-015-0256-3.
2
Congenital aneurysmal circumflex coronary artery fistula in a pregnant woman.一名孕妇的先天性动脉瘤样回旋支冠状动脉瘘
Clinics (Sao Paulo). 2012 Dec;67(12):1523-5. doi: 10.6061/clinics/2012(12)30.