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罕见的多发瘘管合并源自左前降支动脉和左冠状动脉主干的大囊状动脉瘤。

Rare multiple fistulas with large saccular aneurysms originating from left anterior descending artery and left main coronary artery.

作者信息

Emre Ender, Aktas Mujdat, Sahin Tayfun, Ural Ertan, Ural Dilek

机构信息

Ender Emre, Mujdat Aktas, Tayfun Sahin, Ertan Ural, Dilek Ural, Department of Cardiology, Faculty of Medicine, Kocaeli University, Kocaeli 41060, Turkey.

出版信息

World J Clin Cases. 2014 Dec 16;2(12):927-9. doi: 10.12998/wjcc.v2.i12.927.

Abstract

A 49-year-old female patient consulted us for a cardiac evaluation before undergoing colon adenocarcinoma surgery. Three years prior, the patient underwent coronary angiography for dyspnea. The coronary angiography examination revealed a fistula originating from the left anterior descending artery and left main coronary artery, which had soft aneurysmal sacs and most likely drained into the pulmonary artery. Parasternal short axis echocardiography revealed a color flow that could be related to the fistula, but the other echocardiographic findings were normal. The patient did not accept the proposed examination and invasive treatment.

摘要

一名49岁女性患者在接受结肠腺癌手术前前来我院进行心脏评估。三年前,该患者因呼吸困难接受了冠状动脉造影检查。冠状动脉造影检查显示,瘘管起源于左前降支动脉和左冠状动脉主干,有柔软的动脉瘤样囊袋,最有可能引流至肺动脉。胸骨旁短轴超声心动图显示有与瘘管可能相关的彩色血流,但其他超声心动图检查结果正常。患者未接受建议的检查和侵入性治疗。

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本文引用的文献

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Coronary arterial malformation depicted at multi-slice CT angiography.
Int J Cardiovasc Imaging. 2006 Jun-Aug;22(3-4):547-51. doi: 10.1007/s10554-005-9072-5. Epub 2006 Feb 25.

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