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左前降支冠状动脉与肺动脉之间的冠状动脉瘘：两例报告。

Coronary fistula between the left anterior descending coronary artery and the pulmonary artery: Two case reports.

作者信息

Ibrahim Mohamed F, Sayed Sameh, Elasfar Abdelfatah, Sallam Ayman, Fadl Mazin, Al Baradai Abdulaziz

机构信息

Cardiac Surgery Department, Prince Salman Heart Center, King Fahad Medical City, Riyadh.

出版信息

J Saudi Heart Assoc. 2012 Oct;24(4):253-6. doi: 10.1016/j.jsha.2012.07.004. Epub 2012 Aug 10.

DOI:10.1016/j.jsha.2012.07.004
PMID:24174833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3809472/
Abstract

Coronary artery fistulae are rare congenital or acquired connections between the coronary vessels and the cardiac chambers or other vascular structures. We present two consecutive cases of coronary fistulae between the proximal left anterior descending artery (LAD) and the main pulmonary artery. Both cases where admitted with history of acute coronary syndromes and had multivessel coronary disease along with coronary pulmonary fistulae. The two cases were managed by coronary artery bypass grafting (CABG) and repair of the fistulae.

摘要

冠状动脉瘘是冠状动脉与心腔或其他血管结构之间罕见的先天性或后天性连接。我们报告两例连续的左前降支近端（LAD）与主肺动脉之间的冠状动脉瘘病例。两例患者均因急性冠状动脉综合征病史入院，同时患有多支冠状动脉疾病及冠状动脉肺瘘。这两例患者均接受了冠状动脉旁路移植术（CABG）及瘘管修复术。

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本文引用的文献

1
Percutaneous closure of congenital coronary artery fistulae: results and angiographic follow-up.经皮闭合先天性冠状动脉瘘：结果和血管造影随访。
JACC Cardiovasc Interv. 2011 Jul;4(7):814-21. doi: 10.1016/j.jcin.2011.03.014.
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Coronary-pulmonary artery fistula with anomalous vessels arising from the right coronary sinus detected by 64-MDCT.64排多层螺旋CT检测出起源于右冠状动脉窦的异常血管所致的冠状动脉-肺动脉瘘
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Coronary artery fistula; coronary computed topography--the diagnostic modality of choice.冠状动脉瘘；冠状动脉计算机断层扫描——首选的诊断方式。
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Large common left and right coronary artery to coronary sinus fistula.粗大的左、右冠状动脉共同至冠状窦瘘。
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A case of symptomatic coronary artery fistula.
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Bilateral coronary-to-pulmonary artery fistulas.双侧冠状动脉-肺动脉瘘
Ann Thorac Surg. 2006 Nov;82(5):1886-8. doi: 10.1016/j.athoracsur.2006.02.040.
7
Congenital coronary artery fistulas in adults: surgical treatment and outcome.成人先天性冠状动脉瘘：外科治疗及结果
Int J Cardiol. 2005 Jan;98(1):57-9. doi: 10.1016/j.ijcard.2002.05.001.
8
Management of coronary artery fistulae. Patient selection and results of transcatheter closure.冠状动脉瘘的管理。患者选择及经导管封堵结果。
J Am Coll Cardiol. 2002 Mar 20;39(6):1026-32. doi: 10.1016/s0735-1097(02)01742-4.
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Ann Thorac Surg. 2000 Apr;69(4 Suppl):S270-97. doi: 10.1016/s0003-4975(99)01248-5.