Department of Cardiology, Chinese Academy of Medical Sciences and Peking Union Medical College Fuwai Hospital, North Lishi Road, Beijing, 100037, China.
Cardiology Department, Yuncheng Central Hospital, City, Shanxi province, Yuncheng, 044000, China.
BMC Cardiovasc Disord. 2020 Mar 14;20(1):136. doi: 10.1186/s12872-020-01415-2.
Coronary artery fistula (CAF) is an abnormal connection between a coronary artery and either a cardiac chamber or the great vessels. Although most patients are asymptomatic, potential complications such as heart failure, angina pectoris or acute myocardial infarction can be fatal.
We present here a 62-year-old man diagnosed with giant coronary artery fistula complicated with gross coronary artery aneurysm and acute myocardial infarction. He underwent intravenous thrombolysis treatment at a local hospital, coronary angiography at a regional hospital and complex surgery at a national centre for cardiovascular disease. The patient had no major adverse cardiac events during the 3-year follow-up.
Early diagnosis of CAF patients and an appropriate treatment plan are the key factors for avoiding serious complications. Because of the rare incidence of this disease, it is necessary to discover and discuss management strategies, including medical management, percutaneous interventions or surgical treatment, for a successful outcome.
冠状动脉瘘（CAF）是冠状动脉与心腔或大血管之间的异常连接。尽管大多数患者无症状，但心力衰竭、心绞痛或急性心肌梗死等潜在并发症可能是致命的。
我们在此介绍一位 62 岁男性，诊断为巨大冠状动脉瘘，合并明显冠状动脉瘤和急性心肌梗死。他曾在当地医院接受静脉溶栓治疗，在区域医院行冠状动脉造影检查，并在国家心血管病中心行复杂手术。患者在 3 年随访期间无重大不良心脏事件。
早期诊断 CAF 患者并制定适当的治疗方案是避免严重并发症的关键因素。由于该病发病率较低，需要发现并讨论管理策略，包括药物治疗、经皮介入或手术治疗，以获得成功的结果。
