一例冠状动脉瘘患者发生急性冠状动脉综合征的病例报告。
Case report of an acute coronary syndrome in a patient with artery coronary fistulae.
作者信息
Romero-Castro María José, Unzué Leire, García Eulogio, Fernández-Friera Leticia
机构信息
Cardiac Imaging Unit, Cardiology Department, HM Hospitales-Centro Integral de Enfermedades Cardiovasculares HM CIEC, Avenida de Montepríncipe, Boadilla del Monte, 28660 Madrid, Spain.
Interventional Cardiology Department, Hospital Universitario HM Montepríncipe, Madrid, Spain.
出版信息
Eur Heart J Case Rep. 2021 Aug 30;5(11):ytab323. doi: 10.1093/ehjcr/ytab323. eCollection 2021 Nov.
BACKGROUND
Coronary artery fistulae are rare vascular anomalies. Although they are usually asymptomatic, the presence of symptoms might present a challenge in the diagnostic and therapeutic management.
CASE SUMMARY
We present a patient with chest pain whose initial tests were normal, but coronary artery fistulae were found. Single-photon emission computed tomography test showed ischaemia due to coronary artery fistulae and cardiac computed tomography helped in the planning of the percutaneous closure.
DISCUSSION
CCT is emerging as an optimal non-invasive tool to characterise the morphology and course of coronary artery fistulae and may be essential for its accurate diagnosis and planning for percutaneous closure.
背景
冠状动脉瘘是罕见的血管异常。尽管它们通常无症状，但症状的出现可能给诊断和治疗管理带来挑战。
病例摘要
我们报告一名胸痛患者，其初始检查正常，但发现有冠状动脉瘘。单光子发射计算机断层扫描检查显示冠状动脉瘘导致的缺血，心脏计算机断层扫描有助于经皮封堵术的规划。
讨论
心脏计算机断层扫描正成为一种用于描述冠状动脉瘘形态和走行的最佳无创工具，对于其准确诊断和经皮封堵术规划可能至关重要。
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