冠状动脉至肺动脉瘘破裂性动脉瘤
Ruptured aneurysm of coronary artery-to-pulmonary artery fistula.
作者信息
Kazuno Kei, Akasaka Nobuyuki, Kiyokawa Keiko, Sasajima Tadahiro
机构信息
Department of Cardiovascular Surgery, Asahikawa Medical University, Hokkaido, Japan.
出版信息
Asian Cardiovasc Thorac Ann. 2012 Jun;20(3):324-6. doi: 10.1177/0218492311419794.
A 69-year-old lady was discovered unconscious. Computed tomography showed pericardial effusion and a coronary artery aneurysm of 25 mm in diameter in front of the main pulmonary artery. Emergency surgery revealed a coronary-pulmonary artery fistula and coronary aneurysm surrounded by a large hematoma. The inflow and outflow of the fistula were closed, and no cardioplegic leakage was noted. Postoperative angiography showed residual fistulas that were successfully closed by transcatheter embolization.
一名69岁女性被发现昏迷。计算机断层扫描显示心包积液以及主肺动脉前方直径为25毫米的冠状动脉瘤。急诊手术发现冠状动脉-肺动脉瘘及被巨大血肿包绕的冠状动脉瘤。封闭了瘘管的流入和流出道，未发现心脏停搏液渗漏。术后血管造影显示存在残余瘘管，通过经导管栓塞成功将其封闭。
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