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罕见的左回旋冠状动脉瘘管连接扩张的冠状窦与永存左上腔静脉和多个动静脉瘘。

A rare combination of the left circumflex coronary artery fistula connecting a dilated coronary sinus with persistent left superior vena cava and multiple arteriovenous fistulae.

机构信息

Cardiovascular Center of Chungbuk National University Hospital, Cheongju, Korea.

出版信息

Korean Circ J. 2013 May;43(5):356-9. doi: 10.4070/kcj.2013.43.5.356. Epub 2013 May 31.

DOI:10.4070/kcj.2013.43.5.356
PMID:23755085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3675313/
Abstract

Coronary artery fistula (CAF) is an abnormal communication between an epicardial coronary artery and a cardiac chamber, major vessel or other vascular structures. This report presents a rare case of CAF in which a dilated left main trunk and proximal circumflex coronary artery are connected to a dilated coronary sinus. There were also two other fistulae and persistent left superior vena cava. The coronary fistula was managed conservatively.

摘要

冠状动脉瘘（CAF）是心外膜冠状动脉与心腔、大血管或其他血管结构之间的异常交通。本报告介绍了一例罕见的 CAF 病例，其中扩张的左主干和近端回旋支冠状动脉与扩张的冠状窦相连。还有另外两条瘘管和永存左上腔静脉。冠状动脉瘘采用保守治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af63/3675313/7a60120437ef/kcj-43-356-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af63/3675313/8ab48b0c1165/kcj-43-356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af63/3675313/713cb364982b/kcj-43-356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af63/3675313/7a60120437ef/kcj-43-356-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af63/3675313/8ab48b0c1165/kcj-43-356-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af63/3675313/713cb364982b/kcj-43-356-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af63/3675313/7a60120437ef/kcj-43-356-g003.jpg

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2
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J Card Surg. 2011 Nov;26(6):608-12. doi: 10.1111/j.1540-8191.2011.01283.x. Epub 2011 Oct 5.
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Congenital solitary coronary artery fistulas characterized by their drainage sites.
多发右冠状动脉瘘入冠状窦：一例报告及文献复习
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先天性孤立性冠状动脉瘘按引流部位分类。
World J Cardiol. 2010 Jan 26;2(1):6-12. doi: 10.4330/wjc.v2.i1.6.
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Coronary arteriovenous fistulas in the adults: natural history and management strategies.成人冠状动脉瘘：自然病史与管理策略
J Cardiothorac Surg. 2009 Nov 6;4:62. doi: 10.1186/1749-8090-4-62.
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Transcatheter closure of congenital coronary artery fistulae: immediate and long-term follow-up results.经导管封堵先天性冠状动脉瘘：即刻及长期随访结果
Clin Cardiol. 2009 Sep;32(9):506-12. doi: 10.1002/clc.20650.
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Coronary artery fistula: a case series with review of the literature.冠状动脉瘘：病例系列及文献复习。
J Cardiol. 2009 Jun;53(3):467-72. doi: 10.1016/j.jjcc.2008.09.009. Epub 2008 Nov 20.
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