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Anomalous Origin of Right Coronary Artery Originating from the Pulmonary Trunk (ARCAPA): an Incidental Finding in a Patient Presenting with Chest Pain.起源于肺动脉干的右冠状动脉异常起源（ARCAPA）：一名胸痛患者的偶然发现。
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本文引用的文献

1
Clinical presentation of coronary arteriovenous fistula according to age and anatomic orientation.根据年龄和解剖方位的冠状动脉瘘临床表现
Caspian J Intern Med. 2015 Spring;6(2):108-12.
2
Rare case of coronary to pulmonary vein fistula with coronary steal phenomenon.冠状动脉至肺静脉瘘合并冠状动脉窃血现象的罕见病例。
World J Cardiol. 2014 Jul 26;6(7):682-4. doi: 10.4330/wjc.v6.i7.682.
3
Coronary arteriovenous fistulae: a review.冠状动脉瘘：综述
Int J Angiol. 2014 Mar;23(1):1-10. doi: 10.1055/s-0033-1349162.
4
Percutaneous closure of congenital coronary artery fistulae: results and angiographic follow-up.经皮闭合先天性冠状动脉瘘：结果和血管造影随访。
JACC Cardiovasc Interv. 2011 Jul;4(7):814-21. doi: 10.1016/j.jcin.2011.03.014.
5
ACC/AHA 2008 Guidelines for the Management of Adults with Congenital Heart Disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to develop guidelines on the management of adults with congenital heart disease).《美国心脏病学会/美国心脏协会2008年成人先天性心脏病管理指南》：美国心脏病学会/美国心脏协会实践指南工作组（制定成人先天性心脏病管理指南的写作委员会）报告
Circulation. 2008 Dec 2;118(23):e714-833. doi: 10.1161/CIRCULATIONAHA.108.190690. Epub 2008 Nov 7.
6
Task Force 2: congenital heart disease.第二特别工作组：先天性心脏病
J Am Coll Cardiol. 2005 Apr 19;45(8):1326-33. doi: 10.1016/j.jacc.2005.02.009.
7
Prospective echocardiographic diagnosis and surgical repair of anomalous origin of a coronary artery from the opposite sinus with an interarterial course.前瞻性超声心动图诊断及外科修复冠状动脉从对侧窦呈动脉间走行的异常起源。
J Am Coll Cardiol. 2003 Jul 2;42(1):148-54. doi: 10.1016/s0735-1097(03)00503-5.
8
Management of coronary artery fistulae. Patient selection and results of transcatheter closure.冠状动脉瘘的管理。患者选择及经导管封堵结果。
J Am Coll Cardiol. 2002 Mar 20;39(6):1026-32. doi: 10.1016/s0735-1097(02)01742-4.
9
Major coronary artery anomalies in a pediatric population: incidence and clinical importance.小儿群体中的主要冠状动脉异常：发病率及临床重要性。
J Am Coll Cardiol. 2001 Feb;37(2):593-7. doi: 10.1016/s0735-1097(00)01136-0.
10
Management of coronary artery fistulas: percutaneous transcatheter embolization versus surgical closure.冠状动脉瘘的治疗：经皮导管栓塞术与手术闭合术对比
Catheter Cardiovasc Interv. 1999 Feb;46(2):151-2. doi: 10.1002/(SICI)1522-726X(199902)46:2<151::AID-CCD7>3.0.CO;2-G.

左前降支动脉与肺动脉之间的冠状动脉瘘

Coronary artery fistula between the left anterior descending artery and pulmonary artery.

作者信息

Al-Douri Abdul, Cedars Ari, Tran Dat

机构信息

Department of Internal Medicine, Texas A&M College of Medicine, Bryan, Texas.

Division of Cardiology, Baylor Heart and Vascular Hospital and Baylor University Medical Center, Dallas, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2018 Feb 1;31(1):64-66. doi: 10.1080/08998280.2017.1401380. eCollection 2018 Jan.

DOI:10.1080/08998280.2017.1401380
PMID:29686557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5903525/
Abstract

Coronary artery fistula is a rare anomalous connection between a coronary artery and a cardiac chamber or major vessel. Here we present the case of a 36-year-old woman who presented with sharp, substernal chest pain, dyspnea, and dizziness. A fistula between her left anterior descending artery and pulmonary trunk was found. Herein, we describe our approach and review the epidemiology, pathophysiology, diagnosis, and treatment options.

摘要

冠状动脉瘘是一种冠状动脉与心腔或大血管之间罕见的异常连接。在此，我们报告一例36岁女性患者，她出现胸骨后锐痛、呼吸困难和头晕症状。发现其左前降支动脉与肺动脉主干之间存在瘘管。在此，我们描述我们的治疗方法，并回顾其流行病学、病理生理学、诊断和治疗选择。