冠状动脉瘘自发性破裂致劳力后晕厥和血心包。
Spontaneous rupture of a coronary artery fistula presenting with post-exertional syncope and haemopericardium.
机构信息
Division of Cardiac Surgery, Children's National Hospital, Washington, DC, USA.
Division of Pediatric Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CA, USA.
出版信息
Interact Cardiovasc Thorac Surg. 2021 Apr 19;32(4):658-660. doi: 10.1093/icvts/ivaa317.
An 8-year-old with a known diagnosis of an asymptomatic coronary artery fistula (CAF) presented with exertional syncope and haemopericardium due to contained rupture of CAF. A transcatheter closure was attempted, but the fistula ruptured again prompting emergency surgical repair. Spontaneous rupture is a catastrophic complication of CAF and warrants a high index of suspicion, timely diagnosis and team management.
一名 8 岁患儿，已知诊断为无症状性冠状动脉瘘（CAF），因 CAF 破裂伴血心包而出现运动性晕厥。尝试经导管封堵，但瘘管再次破裂，随后紧急行外科修复。自发性破裂是 CAF 的灾难性并发症，需要高度怀疑、及时诊断和团队管理。
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