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本文引用的文献

1
Left main trunk connecting to superior vena cava via aneurysmal coronary artery fistula.左主干通过动脉瘤样冠状动脉瘘与上腔静脉相连。
Eur Heart J Cardiovasc Imaging. 2014 Jul;15(7):752. doi: 10.1093/ehjci/jet281. Epub 2014 Jan 20.
2
Congenital solitary coronary artery fistulas characterized by their drainage sites.先天性孤立性冠状动脉瘘按引流部位分类。
World J Cardiol. 2010 Jan 26;2(1):6-12. doi: 10.4330/wjc.v2.i1.6.
3
Left main coronary artery fistula to the right atrium and superior vena cava: case report and review of the literature.左冠状动脉主干瘘入右心房及上腔静脉：病例报告及文献复习
J Card Surg. 2010 Nov;25(6):689-91. doi: 10.1111/j.1540-8191.2010.01129.x.
4
Giant coronary artery fistula between the left main coronary artery and the superior vena cava complicated by coronary artery dissection.左冠状动脉主干与上腔静脉之间的巨大冠状动脉瘘合并冠状动脉夹层。
Rev Esp Cardiol. 2010 Jun;63(6):743-4. doi: 10.1016/s1885-5857(10)70152-3.
5
Successful surgical correction of a patient with congenital coronary arteriovenous fistula between left main coronary artery and right superior cavo-atrial junction.成功手术矫正一名左冠状动脉主干与右上腔静脉-心房交界处先天性冠状动脉瘘患者。
Hellenic J Cardiol. 2009 Jan-Feb;50(1):73-8.
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Coronary artery pathology.冠状动脉病理学
Heart. 2007 Nov;93(11):1484-9. doi: 10.1136/hrt.2004.038364.
7
Coronary artery fistulas: how to manage them.冠状动脉瘘：如何进行治疗。
Catheter Cardiovasc Interv. 2007 Jul 1;70(1):110-6. doi: 10.1002/ccd.21125.
8
Dutch survey of coronary artery fistulas in adults: congenital solitary fistulas.荷兰成年人冠状动脉瘘调查：先天性孤立性瘘
Int J Cardiol. 2006 Jan 26;106(3):323-32. doi: 10.1016/j.ijcard.2005.01.047.
9
Coronary artery fistulas: clinical and therapeutic considerations.冠状动脉瘘：临床与治疗考量
Int J Cardiol. 2006 Feb 8;107(1):7-10. doi: 10.1016/j.ijcard.2005.01.067. Epub 2005 Aug 24.
10
Coronary artery fistulas in adults: incidence, angiographic characteristics, natural history.成人冠状动脉瘘：发病率、血管造影特征及自然病史。
Cathet Cardiovasc Diagn. 1995 Jun;35(2):116-20. doi: 10.1002/ccd.1810350207.

冠状动脉瘘，连接左冠状动脉主干与上腔静脉。

Coronary artery fistula connecting the left main coronary artery with the superior vena cava.

作者信息

Nikolaidou C, Gourassas J

机构信息

1 Cardiology Department, AHEPA University Hospital, Thessaloniki, Greece.

出版信息

Hippokratia. 2015 Apr-Jun;19(2):186-8.

PMID:27418772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4938114/
Abstract

BACKGROUND

Coronary artery fistulas are rare congenital coronary artery abnormalities, with direct communication between a coronary artery and a cardiac chamber, great vessel or other structure.

DESCRIPTION OF CASE

We report a case of a large coronary artery fistula connecting the left main coronary artery with the superior vena cava in a 70-year-old patient undergoing diagnostic coronary angiography for a non-ST-segment elevation myocardial infarction. The patient rejected closure of the fistula and remains asymptomatic on follow-up.

CONCLUSION

Angiographic recognition of coronary artery fistulas is important for the appropriate diagnosis and management of patients. Hippokratia 2015; 19 (2):186-188.

摘要

背景

冠状动脉瘘是一种罕见的先天性冠状动脉异常，表现为冠状动脉与心腔、大血管或其他结构之间存在直接连通。

病例描述

我们报告一例70岁患者，因非ST段抬高型心肌梗死接受诊断性冠状动脉造影时，发现左主干冠状动脉与上腔静脉之间存在巨大冠状动脉瘘。该患者拒绝封堵瘘管，随访期间无症状。

结论

冠状动脉瘘的血管造影识别对于患者的正确诊断和管理至关重要。《希波克拉底》2015年；19（2）：186 - 188。