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左前降支动脉（LAD）与肺动脉之间联合瘘及LAD严重狭窄导致的可逆性肺动脉高压

Reversible Pulmonary Hypertension due to Combined Fistula between the Left Anterior Descending Artery (LAD) and Pulmonary Artery and Severe Stenosis of the LAD.

作者信息

Schizas N, Patris V, Giannaraki S, Ifanti G, Anagnostopoulos I, Argiriou M

机构信息

Cardiovascular and Thoracic Department of Evangelismos General Hospital, Athens, Greece.

Anesthesiology Department of Evangelismos General Hospital, Athens, Greece.

出版信息

Case Rep Cardiol. 2021 Mar 4;2021:6629684. doi: 10.1155/2021/6629684. eCollection 2021.

DOI:10.1155/2021/6629684
PMID:33763258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7952168/
Abstract

Coronary artery fistulas are usually diagnosed accidentally without the presence of any symptoms. On the other hand, the combination of fistula between the left anterior descending artery (LAD) and pulmonary artery (PA) and severe stenosis of the LAD, as in this case report, is a potential life-threatening condition. A 72-year-old patient was treated surgically after being diagnosed with fistula between the LAD and PA, severe stenosis of the LAD, and severe pulmonary hypertension. In following paragraphs, the case of this man and significant issues regarding the development and management of coronary artery fistulas are analyzed.

摘要

冠状动脉瘘通常在没有任何症状的情况下被偶然诊断出来。另一方面，如本病例报告所示，左前降支（LAD）与肺动脉（PA）之间存在瘘管且LAD严重狭窄，这是一种潜在的危及生命的情况。一名72岁患者在被诊断出LAD与PA之间存在瘘管、LAD严重狭窄以及严重肺动脉高压后接受了手术治疗。在接下来的段落中，将分析该男子的病例以及冠状动脉瘘的发生和管理方面的重要问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecff/7952168/3df1980372af/CRIC2021-6629684.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecff/7952168/327ca3775dfd/CRIC2021-6629684.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecff/7952168/db35bcbbf045/CRIC2021-6629684.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecff/7952168/3df1980372af/CRIC2021-6629684.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecff/7952168/327ca3775dfd/CRIC2021-6629684.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecff/7952168/db35bcbbf045/CRIC2021-6629684.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecff/7952168/3df1980372af/CRIC2021-6629684.003.jpg

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J Cardiothorac Surg. 2020 Feb 3;15(1):32. doi: 10.1186/s13019-020-1073-x.
2
Coronary Fistula Between Left Anterior Descending Artery (LAD) and Pulmonary Artery (PA) Leading to Sudden Cardiac Death: Case Report with Literature Review.左前降支动脉（LAD）与肺动脉（PA）之间的冠状动脉瘘导致心源性猝死：病例报告及文献复习
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3
Coronary artery fistula between the left anterior descending artery and pulmonary artery.
左前降支动脉与肺动脉之间的冠状动脉瘘
Proc (Bayl Univ Med Cent). 2018 Feb 1;31(1):64-66. doi: 10.1080/08998280.2017.1401380. eCollection 2018 Jan.
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Coronary-Pulmonary Artery Fistulas: A Systematic Review.冠状动脉-肺动脉瘘：一项系统评价
J Thorac Imaging. 2016 Nov;31(6):380-390. doi: 10.1097/RTI.0000000000000232.
5
Covered Stent for Large Coronary Arterial Fistula and Adjacent Atherosclerotic Plaque With Stenosis in a Patient With Non-ST-Segment Elevation Myocardial Infarction.非ST段抬高型心肌梗死患者大型冠状动脉瘘及伴有狭窄的相邻动脉粥样硬化斑块的覆膜支架治疗
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