Sharma Umesh M, Aslam Ahmed F, Tak Tahir
Department of Hospital Medicine, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, Wisconsin.
Department of Cardiology, Mayo Clinic Health System-Franciscan Healthcare, La Crosse, Wisconsin.
Int J Angiol. 2013 Sep;22(3):189-92. doi: 10.1055/s-0033-1349166.
An 86-year-old woman with history of hypertension, diabetes, hyperlipidemia, and coronary artery disease was admitted with new-onset congestive heart failure and pneumonia. She underwent coronary angiography after suffering a non-ST elevation myocardial infarction. There was severe coronary artery disease in addition to coronary artery-pulmonary fistulas involving proximal right coronary artery and a branch of left main coronary artery. Coronary artery fistula (CAF) is an abnormal communication between one or more coronary arteries and great vessels or a cardiac chamber. We reviewed 15 cases of CAFs published in PubMed and studied the clinical features of CAFs.
一名86岁女性，有高血压、糖尿病、高脂血症和冠状动脉疾病史，因新发充血性心力衰竭和肺炎入院。她在发生非ST段抬高型心肌梗死后接受了冠状动脉造影。除了累及右冠状动脉近端和左主冠状动脉一分支的冠状动脉-肺瘘外，还存在严重冠状动脉疾病。冠状动脉瘘（CAF）是一条或多条冠状动脉与大血管或心腔之间的异常连通。我们回顾了发表在PubMed上的15例CAF病例，并研究了CAF的临床特征。
