Castles Anastasia Vlachadis, Mogilevski Tamara, Asrar ul Haq Muhammad
Anastasia Vlachadis Castles, Tamara Mogilevski, Muhammad Asrar ul Haq, Department of Cardiology, The Northern Hospital, Epping, VIC 3076, Australia.
World J Cardiol. 2014 Mar 26;6(3):112-4. doi: 10.4330/wjc.v6.i3.112.
Giant coronary artery aneurysms and coronary artery fistulae are uncommon pathologies. We present the case of an elderly woman who was referred to cardiology for investigation of possible ischaemic heart disease prior to orthopaedic surgery. The patient had developed chest pain in the setting of a septic total knee replacement associated with changes on electrocardiography. Coronary angiography revealed multiple coronary arteriovenous fistulae associated with giant coronary artery aneurysm causing steal syndrome in the setting of haemodynamic stress.
巨大冠状动脉瘤和冠状动脉瘘是罕见的病变。我们报告一例老年女性病例，该患者在骨科手术前因可能的缺血性心脏病被转诊至心脏病科。患者在全膝关节置换术后发生败血症时出现胸痛，并伴有心电图改变。冠状动脉造影显示多发冠状动脉动静脉瘘，伴有巨大冠状动脉瘤，在血流动力学应激情况下导致窃血综合征。
