Jaguszewski Milosz, Ciecwierz Dariusz, Rynkiewicz Andrzej
First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland.
J Invasive Cardiol. 2012 Sep;24(9):E207-8.
We present an interesting case on the management of a traumatic coronary artery fistula in a 39-year-old man who was stabbed by his wife. During emergency sternotomy, left lung and right ventricle injuries were repaired. On the second postoperative day, an acute myocardial infarction of the anterior wall was recognized. Coronary angiography revealed a rare case of a fistula between the left anterior descending coronary artery and the right ventricle of the heart, which was treated by a stent-graft to avoid a re-operation.
我们呈现了一个有趣的病例，是关于一名39岁被其妻子刺伤的男子创伤性冠状动脉瘘的治疗。在急诊开胸手术中，对左肺和右心室损伤进行了修复。术后第二天，发现前壁急性心肌梗死。冠状动脉造影显示了一例罕见的左前降支冠状动脉与心脏右心室之间的瘘，通过支架移植物进行治疗以避免再次手术。
