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成人法洛四联症伴多处畸形，包括多支冠状动脉瘘。

An adult case of tetralogy of fallot accompanied by multiple anomalies including multidirectional coronary artery fistulas.

机构信息

Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea.

出版信息

Korean Circ J. 2014 May;44(3):196-9. doi: 10.4070/kcj.2014.44.3.196. Epub 2014 May 20.

DOI:10.4070/kcj.2014.44.3.196
PMID:24876863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4037644/
Abstract

Multidirectional coronary artery fistulas (CAFs) are rare in patients with tetralogy of Fallot (TOF). We report an adult patient who underwent open-heart surgery for TOF 24 years before the discussed presentation. Coronary angiogram and cardiac computed tomography revealed multidirectional CAFs originating from the left main coronary artery and draining to the left atrium, pulmonary artery and subphrenic artery. The patient also showed additional congenital anomalies, such as persistent left superior vena cava and right-sided aortic arch.

摘要

多向性冠状动脉瘘（CAFs）在法洛四联症（TOF）患者中较为罕见。我们报告了一例成年患者，其在讨论的临床表现前 24 年曾接受过 TOF 的心脏直视手术。冠状动脉造影和心脏计算机断层扫描显示多向性 CAFs 起源于左主干冠状动脉，并引流至左心房、肺动脉和膈下动脉。该患者还存在其他先天性异常，如永存左上腔静脉和右位主动脉弓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d46/4037644/e11c6bd8934d/kcj-44-196-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d46/4037644/cefa69b5962e/kcj-44-196-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d46/4037644/44f04c403770/kcj-44-196-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d46/4037644/e11c6bd8934d/kcj-44-196-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d46/4037644/cefa69b5962e/kcj-44-196-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d46/4037644/44f04c403770/kcj-44-196-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d46/4037644/e11c6bd8934d/kcj-44-196-g003.jpg

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本文引用的文献

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Coronary artery fistula: review of 54 cases from single center experience.冠状动脉瘘：单中心经验 54 例回顾。
Cardiol J. 2012;19(3):278-86. doi: 10.5603/cj.2012.0050.
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A case of tetralogy of Fallot associated with left anterior descending coronary artery to pulmonary artery fistula.一例法洛四联症合并左前降支冠状动脉至肺动脉瘘。
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Myocardial ischemia secondary to a large coronary-pulmonary fistula--a case report.继发于巨大冠状动脉-肺瘘的心肌缺血——病例报告
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Transcatheter closure of coronary artery to pulmonary artery fistula using covered stents.使用覆膜支架经导管闭合冠状动脉至肺动脉瘘。
Heart. 2002 Jan;87(1):60. doi: 10.1136/heart.87.1.60-a.
9
Coronary artery fistulas: clinical consequences and methods of closure. A literature review.冠状动脉瘘：临床后果及闭合方法。文献综述。
Ital Heart J. 2001 Sep;2(9):669-76.
10
Coronary artery fistulas: long-term results of surgical correction.冠状动脉瘘：手术矫正的长期结果
Ann Thorac Surg. 2001 Jan;71(1):190-5. doi: 10.1016/s0003-4975(00)01862-2.