Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ann Thorac Surg. 2019 Oct;108(4):e265-e267. doi: 10.1016/j.athoracsur.2019.01.082. Epub 2019 Mar 13.
A 75-year-old woman was referred to our hospital for dyspnea and edema of the lower limbs. Computed tomography angiography revealed a dilated left coronary artery from the left main trunk to the left circumflex branch and a dilated fistula originating from the left circumflex branch and draining into the persistent left superior vena cava. Physical examination revealed pulmonary hypertension and congestive heart failure. We performed closure of the fistula and left main coronary artery orifice and coronary artery bypass grafting. Postoperative computed tomography angiography showed patency of all grafts and progression of thrombosis in the dilated abnormal vessels.
一位 75 岁女性因呼吸困难和下肢水肿被转至我院。计算机断层血管造影显示左主干至左回旋支的左冠状动脉扩张，以及起源于左回旋支并引流至永存左上腔静脉的扩张瘘。体格检查发现肺动脉高压和充血性心力衰竭。我们进行了瘘和左主干冠状动脉口的闭合以及冠状动脉旁路移植术。术后计算机断层血管造影显示所有移植物通畅，扩张异常血管内血栓形成进展。
