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经导管栓塞左冠状动脉至右心室先天性冠状动静脉瘘大动脉瘤。

Transcatheter embolization of a large aneurysm in a congenital coronary cameral fistula from the left coronary artery to the right ventricle.

机构信息

Department of Pediatric Cardiology, Wilhelmina Children's Hospital, University Medical Centre, Utrecht, The Netherlands.

出版信息

Catheter Cardiovasc Interv. 2015 Feb 15;85(3):435-9. doi: 10.1002/ccd.25587. Epub 2014 Jul 9.

DOI:10.1002/ccd.25587
PMID:24975776
Abstract

A congenital coronary cameral fistula (CCCF) is characterized by left ventricular dysfunction, electrocardiographic changes due to a reduced left coronary blood flow and impaired physical activity. CCCF's with a giant aneurysm are very rarely seen. The presence of a giant aneurysm imposes even greater health risks. We report a case of a CCCF from the left coronary artery to the right ventricle with a large distal aneurysm in a 20-year-old woman that we closed percutaneously with coils for the closure of ventricular septal defects (VSD) and persistent ductus arteriosus (PDA).

摘要

先天性冠状动静脉瘘（CCCF）的特征为左心室功能障碍、左冠状动脉血流减少导致的心电图变化和体力活动受限。巨大动脉瘤型 CCCF 非常罕见。存在巨大动脉瘤会带来更大的健康风险。我们报告了一例 20 岁女性左冠状动脉至右心室的 CCCF，伴有较大的远端动脉瘤，我们经皮使用线圈闭合了室间隔缺损（VSD）和动脉导管未闭（PDA）。

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