Bayat Fariba, Baghaei Ramin, Safi Morteza, Aval Zahra Ansari, Khaheshi Isa, Naderian Mohammadreza
Cardiovascular Research Center, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Cardiac Surgery Department, Modarres Hospital, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Future Cardiol. 2019 Mar;15(2):85-88. doi: 10.2217/fca-2018-0015. Epub 2019 Mar 8.
We present a 33-year-old man with atypical chest pain and with no significant past medical history. The patient was finally diagnosed as a case of huge fistula from the left main coronary artery to the right atrium, a very rare condition with challenging diagnostic and therapeutic approaches. The majority of cases of coronary artery fistula are small, asymptomatic and clinically undetectable; they frequently do not cause any complications and can spontaneously resolve. However, larger fistulas are frequently three times the size of a typical caliber of a coronary artery and may or may not cause symptoms or complications.
我们报告一名33岁男性，有非典型胸痛症状，既往无重大病史。该患者最终被诊断为左冠状动脉主干至右心房巨大瘘管，这是一种非常罕见的疾病，诊断和治疗方法都颇具挑战性。大多数冠状动脉瘘病例较小，无症状，临床难以察觉；它们通常不会引起任何并发症，且可自行缓解。然而，较大的瘘管通常是冠状动脉典型管径的三倍大小，可能会也可能不会引起症状或并发症。
