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自然冠状动脉搭桥术:一例三支血管病变患者并发主动脉冠状动脉瘘的罕见病例。

Natural Coronary Bypass: A Rare Case of Aortocoronary Fistula in a Patient with Three-Vessel Disease.

作者信息

Naqvi Syed Arsalan Ahmed, Zaidi Syed Danish, Gul Owais, Dar Mudassir Iqbal, Aziz Abdul

机构信息

Internal Medicine, Dow University of Health Sciences, Karachi, PAK.

Cardiac Surgery, Civil Hospital Karachi, Karachi, PAK.

出版信息

Cureus. 2020 Feb 17;12(2):e7023. doi: 10.7759/cureus.7023.

DOI:10.7759/cureus.7023
PMID:32211259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7081959/
Abstract

Coronary arterial fistula (CAF) is an abnormal connection between one or both coronary arteries and a cardiac/extra-cardiac chamber or another vessel. Aortocoronary fistula is a rare type of CAF, which involves an anomalous connection between coronary arteries and any segment of aorta. The following case report describes the case of an adult male patient who presented with the complaint of typical chest pain. Coronary angiography was done and the diagnosis of severe three-vessel disease with an associated aortocoronary fistula was made. Coronary artery bypass grafting (CABG) was planned and performed, and the patient was discharged after a week postoperatively.

摘要

冠状动脉瘘(CAF)是一根或两根冠状动脉与心腔/心外腔或另一血管之间的异常连接。主动脉冠状动脉瘘是冠状动脉瘘的一种罕见类型,它涉及冠状动脉与主动脉任何节段之间的异常连接。以下病例报告描述了一名成年男性患者的病例,该患者主诉典型胸痛。进行了冠状动脉造影,并诊断为严重三支血管病变合并主动脉冠状动脉瘘。计划并实施了冠状动脉旁路移植术(CABG),患者术后一周出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/d0d26a9bf805/cureus-0012-00000007023-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/ad58b4852dcc/cureus-0012-00000007023-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/8bd28ec575f8/cureus-0012-00000007023-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/1d64cf8cf966/cureus-0012-00000007023-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/d0d26a9bf805/cureus-0012-00000007023-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/ad58b4852dcc/cureus-0012-00000007023-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/8bd28ec575f8/cureus-0012-00000007023-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/1d64cf8cf966/cureus-0012-00000007023-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a79/7081959/d0d26a9bf805/cureus-0012-00000007023-i04.jpg

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本文引用的文献

1
The unstoppable heart: an aortocoronary fistula in coronary artery bypass grafting.无法阻挡的心:冠状动脉旁路移植术中的主动脉冠状动脉瘘
Interact Cardiovasc Thorac Surg. 2018 Dec 1;27(6):912-913. doi: 10.1093/icvts/ivy179.
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Coronary Artery Fistula.冠状动脉瘘
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Coronary arteriovenous fistulae: a review.冠状动脉瘘:综述
Int J Angiol. 2014 Mar;23(1):1-10. doi: 10.1055/s-0033-1349162.
6
Patient with angina and "congenital bypass". A new case of aortocoronary fistula.患有心绞痛和“先天性搭桥”的患者。一例主动脉冠状动脉瘘新病例。
Rev Esp Cardiol (Engl Ed). 2013 Oct;66(10):825-7. doi: 10.1016/j.rec.2013.04.017. Epub 2013 Jul 10.
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Eur Heart J. 2012 Mar;33(5):614-21. doi: 10.1093/eurheartj/ehr308. Epub 2011 Oct 3.
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Coronary-to-bronchial artery fistula: demonstration by 64-multidetector computed tomography with retrospective electrocardiogram-gated reconstructions.冠状动脉至支气管动脉瘘:64层螺旋计算机断层扫描结合回顾性心电图门控重建的显示
J Comput Assist Tomogr. 2008 May-Jun;32(3):444-7. doi: 10.1097/RCT.0b013e318123837c.