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96 岁女性冠状动脉-肺动脉瘘破裂;病例报告。

Rupture of aneurysmal coronary-to-pulmonary artery fistula in a 96-year-old female; report of a case.

机构信息

Department of Cardiac Surgery, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, 078-8510, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2021 Mar;69(3):601-604. doi: 10.1007/s11748-020-01488-y. Epub 2020 Sep 16.

Abstract

Coronary artery fistula (CAF) is a relatively rare congenital abnormality of the coronary arteries; typically, patients who undergo surgery for CAFs are relatively young because it is a congenital disease. Here we present a case of an aneurysmal coronary-to-pulmonary artery fistula rupture in a 96-year-old female. Considering her extreme high age and missing preoperative diagnostics, only local hemostasis without anatomical repair was performed but the patient is still doing well 1 year after the operation.

摘要

冠状动脉瘘(CAF)是一种相对罕见的冠状动脉先天性异常;通常,接受 CAF 手术的患者相对年轻,因为这是一种先天性疾病。在这里,我们报告了一例 96 岁女性的冠状动脉-肺动脉瘘破裂的病例。考虑到她极高的年龄和术前诊断缺失,仅进行了局部止血而未进行解剖修复,但患者在手术后 1 年仍状况良好。

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