右冠状动脉分支巨大动脉瘤及冠状动脉-心腔瘘：首例报道。
Huge aneurysm and coronary-cameral fistula from right coronary branch: First case.
作者信息
Ahmad Tanveer, Pasarad Ashwini Kumar, Kishore Kolkebaile Sadanand, Maheshwarappa Nandakumar Neralakere
机构信息
Department of Cardiothoracic Surgery, Sagar Hospital-DSI, Bangalore, India
Department of Cardiothoracic Surgery, Sagar Hospital-DSI, Bangalore, India.
出版信息
Asian Cardiovasc Thorac Ann. 2016 Feb;24(2):181-6. doi: 10.1177/0218492314553819. Epub 2014 Sep 23.
Coronary-cameral fistulas are rare cardiovascular anomalies. A giant coronary artery aneurysm associated with a coronary-cameral fistula is a very rare condition, with an estimated prevalence of 0.02%. We report the case of middle-aged woman who presented with a huge extracardiac aneurysmal mass and a coronary-cameral fistula from a right coronary artery branch. It was successfully repaired by ligation and excision plus marsupialization of the aneurysm. We believe this is the first such a case reported in literature.
冠状动脉-心腔瘘是罕见的心血管异常。巨大冠状动脉瘤合并冠状动脉-心腔瘘是一种极为罕见的病症，估计患病率为0.02%。我们报告一例中年女性病例，其表现为巨大的心外动脉瘤样肿块以及源自右冠状动脉分支的冠状动脉-心腔瘘。通过结扎、切除并对动脉瘤进行袋形缝合术成功修复。我们认为这是文献中报道的首例此类病例。
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