Budnur Srinivas C, Singh Bhupinder, Jayaranganath M
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore-560069, Karnataka, India.
J Invasive Cardiol. 2013 Feb;25(2):E24-6.
Congenital coronary artery fistula is a rare malformation that may involve any or all coronary artery branches and any cardiac chamber. Elective closure of coronary artery fistula by surgery or percutaneous transcatheter technique is generally accepted in the presence of symptoms. Controversies exist in the management of asymptomatic patients. We report a case of successful percutaneous transcatheter device closure of an aneurysmally dilated coronary fistula, originating from the circumflex artery and draining into the coronary sinus, through the persistent left superior vena cava. Persistent left superior vena cava facilitated the easier closure of the fistula, with short procedural and fluoroscopy times.
先天性冠状动脉瘘是一种罕见的畸形，可累及任何或所有冠状动脉分支以及任何心腔。对于有症状的患者，通过手术或经皮导管技术择期闭合冠状动脉瘘已被广泛接受。无症状患者的管理存在争议。我们报告了一例成功经皮导管装置闭合起源于回旋支动脉并通过持续左上腔静脉引流至冠状窦的动脉瘤样扩张冠状动脉瘘的病例。持续左上腔静脉有助于更轻松地闭合瘘口，手术和透视时间较短。
