Geller Charles M, Dimitrova Kamellia R, Hoffman Darryl M, Tranbaugh Robert F
Division of Cardiac Surgery, Mount Sinai Beth Israel, 317 East 17th Street, Fierman Building, 11 floor, New York, NY 10003, USA.
J Cardiothorac Surg. 2014 May 16;9:87. doi: 10.1186/1749-8090-9-87.
Coronary artery fistulae are uncommon, reported in 0.25% of patients undergoing coronary angiography. Two patients with congenital coronary artery fistula and coronary artery disease who presented with symptoms of exacerbated congestive heart failure out of proportion to their atherosclerotic burden were successfully treated by epicardial fistula ligation and coronary artery bypass grafting with marked improvement in functional status.
冠状动脉瘘并不常见,在接受冠状动脉造影的患者中报告的发生率为0.25%。两名患有先天性冠状动脉瘘和冠状动脉疾病的患者出现了与动脉粥样硬化负担不相称的充血性心力衰竭加重症状,通过心外膜瘘结扎和冠状动脉旁路移植术成功治疗,功能状态有显著改善。