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冠状动脉旁路移植术后获得性主动脉冠状动脉静脉瘘闭合致心力衰竭和稳定型心绞痛：一例报告

Closure of an acquired aortocoronary venous fistula after coronary artery bypass grafting causing heart failure and stable angina: A case report.

作者信息

Göçer Hakan, Abusharekh Muhammed, Ercan Ertugrul, Durukan Ahmet Barış

机构信息

Department of Cardiology, MedicalPark Uşak Hospital, Uşak, Turkey.

Department of Cardiology, MedicalPark İzmir Hospital, Uşak, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Oct 23;27(4):580-582. doi: 10.5606/tgkdc.dergisi.2019.18381. eCollection 2019 Oct.

DOI:10.5606/tgkdc.dergisi.2019.18381
PMID:32082930
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7018147/
Abstract

Iatrogenic aortocoronary venous fistula arising from anastomosing an aortocoronary graft to a cardiac vein is a rare a complication following coronary artery bypass grafting. A 75-year-old male patient was admitted with recurrent angina accompanied by congestive heart failure six years after surgery. He was diagnosed with an acquired saphenous vein graft-to- cardiac vein fistula. Based on the estimation of risks versus benefits, the heart team decided to perform percutaneous closure with a vascular occlusion device. Subsequently, complaints and echocardiographic findings of the patient resolved.

摘要

将主动脉冠状动脉移植与心脏静脉吻合引起的医源性主动脉冠状动脉静脉瘘是冠状动脉旁路移植术后一种罕见的并发症。一名75岁男性患者在手术后六年因复发性心绞痛伴充血性心力衰竭入院。他被诊断为后天性大隐静脉移植至心脏静脉瘘。基于风险与获益的评估，心脏团队决定使用血管闭塞装置进行经皮封堵。随后，患者的症状和超声心动图检查结果均得到缓解。

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本文引用的文献

1
Rare Cause of Late Recurrent Angina following Coronary Artery Bypass Grafting: Iatrogenic Aortocoronary Arteriovenous Fistula Causing Coronary Steal.冠状动脉旁路移植术后迟发性复发性心绞痛的罕见原因：医源性主动脉冠状动脉动静脉瘘导致冠状动脉窃血。
Case Rep Cardiol. 2018 Jun 24;2018:6913737. doi: 10.1155/2018/6913737. eCollection 2018.
2
Treatment of Iatrogenic Aortocoronary Arteriovenous Fistula with Coronary Covered Stent.冠状动脉覆膜支架治疗医源性主动脉冠状动脉动静脉瘘
Case Rep Cardiol. 2016;2016:9126817. doi: 10.1155/2016/9126817. Epub 2016 Mar 27.
3
Iatrogenic Aortocoronary Arteriovenous Fistula following Coronary Artery Bypass Surgery: A Case Report and Complete Review of the Literature.冠状动脉搭桥术后医源性主动脉冠状动脉动静脉瘘：一例报告及文献综述
Case Rep Cardiol. 2012;2012:652086. doi: 10.1155/2012/652086. Epub 2012 Oct 31.
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Iatrogenic aorto-coronary venous fistula as a complication of coronary artery bypass surgery: patient report and review of the literature.医源性主动脉-冠状动脉静脉瘘作为冠状动脉搭桥手术的并发症：病例报告及文献复习
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