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成功手术治疗冠状动脉-肺动脉瘘破裂合并心脏压塞

Successful Surgical Treatment for Ruptured Aneurysm of Coronary-Pulmonary Artery Fistula Complicated With Cardiac Tamponade.

作者信息

Shibata Kana, Maeda Shusaku, Kawamura Masashi, Nakatsuji Hiroki, Ryugo Masahiro, Tsutsumi Yasushi, Monta Osamu

机构信息

Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan.

出版信息

JACC Case Rep. 2022 Oct 5;4(19):1283-1287. doi: 10.1016/j.jaccas.2022.08.026.

DOI:10.1016/j.jaccas.2022.08.026
PMID:36406920
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9666919/
Abstract

A 74-year-old woman with no past medical history showed cardiac tamponade caused by rupture of a coronary-pulmonary artery fistula-related aneurysm. Preoperative pericardial puncture and multidetector computed tomography imaging enabled patient condition optimization and accurate morphologic evaluation of fistula and aneurysm, leading to complete surgical resection of the aneurysm. ().

摘要

一名无既往病史的74岁女性因冠状动脉-肺动脉瘘相关动脉瘤破裂导致心脏压塞。术前心包穿刺和多排螺旋计算机断层扫描成像有助于优化患者病情，并对瘘管和动脉瘤进行准确的形态学评估，从而实现动脉瘤的完整手术切除。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/196d888dc9ca/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/a750c5c9b3a9/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/5bcab577f8b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/10a48076c549/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/c0cac695ef06/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/196d888dc9ca/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/a750c5c9b3a9/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/5bcab577f8b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/10a48076c549/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/c0cac695ef06/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fbf/9666919/196d888dc9ca/gr4.jpg

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本文引用的文献

1
Coronary artery-to-pulmonary artery fistula in adults: evaluation with 320-row detector computed tomography coronary angiography.成人冠状动脉-肺动脉瘘：320排探测器计算机断层扫描冠状动脉造影评估
Ann Transl Med. 2021 Sep;9(18):1434. doi: 10.21037/atm-21-4404.
2
Coronary artery changes in congenital coronary-cameral fistulas evaluated by computed tomographic angiography.计算机断层血管摄影术评估先天性冠状动脉心腔瘘管的冠状动脉变化。
Jpn J Radiol. 2021 Dec;39(12):1149-1158. doi: 10.1007/s11604-021-01164-y. Epub 2021 Jun 28.
3
Cardiac tamponade due to ruptured coronary-pulmonary artery fistula aneurysm: a case report.
冠状动脉-肺动脉瘘动脉瘤破裂致心脏压塞：一例报告
Eur Heart J Case Rep. 2020 May 3;4(3):1-5. doi: 10.1093/ehjcr/ytaa084. eCollection 2020 Jun.
4
Coronary to pulmonary artery fistula: morphologic features at multidetector CT.冠状动脉-肺动脉瘘：多层 CT 的形态学特征。
Int J Cardiovasc Imaging. 2010 Dec;26(Suppl 2):273-80. doi: 10.1007/s10554-010-9711-3. Epub 2010 Sep 28.
5
Surgical repair for a coronary-pulmonary artery fistula with a saccular aneurysm of the coronary artery.冠状动脉囊状动脉瘤合并冠状动脉-肺动脉瘘的外科修复术。
Ann Thorac Cardiovasc Surg. 2009 Jun;15(3):194-7.
6
Coronary artery aneurysm associated with fistula in adults: collective review and a case report.成人冠状动脉瘤合并瘘管：综合综述及病例报告
Ann Thorac Cardiovasc Surg. 1999 Aug;5(4):258-64.