Dr PK Sen Department of Cardiovascular & Thoracic Surgery, Seth GS Medical College and King Edward Memorial Hospital, Mumbai, India.
Ann Thorac Surg. 2013 Dec;96(6):2240-3. doi: 10.1016/j.athoracsur.2013.04.108.
Giant coronary artery aneurysm with a fistula is a rare condition. We present one of the largest aneurysms of left circumflex coronary artery territory, arising from the left atrial branch of the left circumflex coronary artery. It had a maximum diameter of 10 cm, with a fistulous connection to the right atrium. Total exclusion of the aneurysmal mass was achieved by ligation of the afferent artery, closure of the entry point from within the aneurysm, and closure of the fistulous communication from within the right atrium. The patient's postoperative course was uneventful.
巨大冠状动脉瘤伴瘘管是一种罕见的情况。我们报告了左回旋支冠状动脉区域最大的动脉瘤之一，起源于左回旋支冠状动脉的左心房分支。它的最大直径为 10 厘米，与右心房有瘘管连接。通过结扎供血动脉、从动脉瘤内部封闭入口点以及从右心房内部封闭瘘管沟通，实现了对动脉瘤团块的完全隔绝。患者术后过程平稳。
