Hijikata Sadahiro, Sakurai Kaoru, Maeba Satoru, Azegami Koji
Department of Cardiovascular Medicine, Shin-Yurigaoka General Hospital, 255 Furusawatsuko, Asao-Ward, Kawasaki City, Kanagawa 180-8610, Japan.
Department of Cardiovascular Surgery, Shin-Yurigaoka General Hospital, 255 Furusawatsuko, Asao-Ward, Kawasaki City, Kanagawa 180-8610, Japan.
Eur Heart J Case Rep. 2020 May 3;4(3):1-5. doi: 10.1093/ehjcr/ytaa084. eCollection 2020 Jun.
Coronary artery fistulas are rare and most commonly asymptomatic; however, they can become enlarged and rupture in some cases.
We report a case of a 51-year-old woman who was brought to our hospital unconscious in an ambulance. Cardiac tamponade caused by the rupture of an aneurismal coronary-pulmonary artery fistula (CPAF) was detected by contrast-enhanced computed tomography and confirmed by invasive coronary angiography. Due to prompt diagnosis and subsequent surgical intervention, the patient's condition was rapidly improved, and she was discharged from the hospital.
Coronary-pulmonary artery fistula aneurysm rupture requires rapid diagnosis and treatment, and thus, in cases with cardiac tamponade and coronary aneurysm, CPAF aneurysm rupture should be considered.
冠状动脉瘘罕见，多数情况下无症状；然而，在某些病例中，它们可能会扩大并破裂。
我们报告一例51岁女性患者，她在救护车上失去意识后被送至我院。通过增强计算机断层扫描检测到动脉瘤样冠状动脉-肺动脉瘘（CPAF）破裂导致的心包填塞，并经有创冠状动脉造影证实。由于诊断及时并随后进行了手术干预，患者病情迅速改善，已出院。
冠状动脉-肺动脉瘘动脉瘤破裂需要快速诊断和治疗，因此，在有心包填塞和冠状动脉瘤的病例中，应考虑CPAF动脉瘤破裂。
