Wang Yuehai, Zhang Yuqiang, Wang Fei, Xue Yuzeng
Cardiology Department, Liaocheng People's Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, China.
Laboratory Animal Center, Liaocheng People's Hospital of Shandong University and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, China.
Front Cardiovasc Med. 2023 Sep 13;10:1238034. doi: 10.3389/fcvm.2023.1238034. eCollection 2023.
We reported a patient with a fistula of the right coronary artery to the left ventricle, accompanied by dilation of the right coronary artery and persistent chest pain. This patient underwent surgical fistula closure surgery, but the fistula recurred. Persistent chest pain reappeared after encountering COVID-19 infection. We analyzed the mechanism of persistent myocardial ischemic chest pain caused by coronary artery fistula in this patient, the impact of surgery on the patient's disease, the possible mechanism of COVID-19 causing persistent ischemic chest pain in this patient, and the possible mechanism of metoprolol in alleviating myocardial ischemic chest pain in this patient.
我们报告了一名患有右冠状动脉至左心室瘘的患者，伴有右冠状动脉扩张和持续性胸痛。该患者接受了手术瘘管闭合手术，但瘘管复发。在感染新型冠状病毒肺炎后，持续性胸痛再次出现。我们分析了该患者冠状动脉瘘引起持续性心肌缺血性胸痛的机制、手术对患者病情的影响、新型冠状病毒肺炎导致该患者持续性缺血性胸痛的可能机制，以及美托洛尔缓解该患者心肌缺血性胸痛的可能机制。
