Department of Ultrasound, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
Department of Ultrasound, Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Echocardiography. 2020 Feb;37(2):356-358. doi: 10.1111/echo.14602. Epub 2020 Feb 11.
Coronary artery fistula (CAF) is a congenital disease in which a communication forms between one or more coronary arteries and a cardiac chamber or great vessel. We describe an infrequent case of right coronary artery (RCA) fistula into the right ventricle (RV) complicated by infective endocarditis in a child. The patient received echocardiography and contrast-enhanced multidetector computed tomography (MDCT). Surgical treatment was performed after management of the infection. Unfortunately, a residual fistula formed after surgery. However, interestingly, the residual fistula spontaneously resolved at one year after surgery. He is now in good condition and totally asymptomatic.
冠状动脉瘘（CAF）是一种先天性疾病，其中一条或多条冠状动脉与心脏腔室或大血管之间形成沟通。我们描述了一例罕见的右冠状动脉（RCA）瘘管进入右心室（RV）并伴有感染性心内膜炎的儿童病例。该患者接受了超声心动图和对比增强多排计算机断层扫描（MDCT）检查。在感染得到控制后，进行了手术治疗。不幸的是，手术后形成了残余瘘管。然而，有趣的是，手术后一年残余瘘管自然消退。他现在情况良好，完全无症状。
