Koneru Jayanth, Samuel Anish, Joshi Meherwan, Hamden Aiman, Shamoon Fayez E, Bikkina Mahesh
Seton Hall Cardiology Fellowship Program, St. Joseph Regional Medical Center, Seton Hall University 703 Main Street, Paterson, NJ 07503, USA.
Case Rep Vasc Med. 2011;2011:486187. doi: 10.1155/2011/486187. Epub 2011 Dec 11.
Coronary artery fistulas are rare anomalies of the coronary arteries that may sometimes cause symptoms by shunting blood flow away from the myocardial capillary network. We report the case of a 46-year old lady which shows the right coronary cusp giving rise to left main coronary artery called anomalous origin of a coronary artery (AOCA), and also a fistula between the left coronary artery and pulmonary artery. We describe our diagnostic approach and review the literature on the epidemiology, pathophysiology, the diagnostic modalities, and treatment options.
冠状动脉瘘是一种罕见的冠状动脉异常，有时可通过使血流从心肌毛细血管网分流而导致症状。我们报告一例46岁女性病例，该病例显示右冠状动脉瓣叶发出左冠状动脉主干，即冠状动脉异常起源（AOCA），同时还有左冠状动脉与肺动脉之间的瘘管。我们描述了我们的诊断方法，并回顾了有关流行病学、病理生理学、诊断方式和治疗选择的文献。
