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累及右冠状动脉、左前降支和主肺动脉的冠状动脉瘘

Coronary Artery Fistula Involving the RCA, LAD, and the Main Pulmonary Artery.

作者信息

Situ Yiling, Weir Lachlan, Feneley Michael, Watson Alasdair, Subbiah Rajesh

机构信息

St Vincent's Hospital, Sydney, New South Wales, Australia.

出版信息

JACC Case Rep. 2024 Feb 23;29(7):102256. doi: 10.1016/j.jaccas.2024.102256. eCollection 2024 Apr 3.

DOI:10.1016/j.jaccas.2024.102256
PMID:38645296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11031659/
Abstract

We present a case of a complex congenital coronary artery fistula between the right coronary artery, left anterior descending artery, and the main pulmonary artery complicated by massive aneurysms and a left-to-right shunt. We highlight the multimodality approach to assessment and the importance of individualized management of complex coronary fistulas.

摘要

我们报告一例复杂的先天性冠状动脉瘘病例，该瘘位于右冠状动脉、左前降支动脉与主肺动脉之间，并发巨大动脉瘤及左向右分流。我们强调了评估的多模态方法以及复杂冠状动脉瘘个体化管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbfc/11031659/1c61775514de/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbfc/11031659/3f13774f7756/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbfc/11031659/1c61775514de/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbfc/11031659/3f13774f7756/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbfc/11031659/1c61775514de/gr1.jpg

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本文引用的文献

1
2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2018年美国心脏协会/美国心脏病学会成人先天性心脏病管理指南：美国心脏病学会/美国心脏协会临床实践指南工作组报告
J Am Coll Cardiol. 2019 Apr 2;73(12):e81-e192. doi: 10.1016/j.jacc.2018.08.1029. Epub 2018 Aug 16.
2
Coronary Artery Fistulae: Anatomy, Diagnosis and Management Strategies.冠状动脉瘘：解剖、诊断与治疗策略
Heart Lung Circ. 2018 Aug;27(8):940-951. doi: 10.1016/j.hlc.2017.07.014. Epub 2018 Feb 9.
3
Percutaneous closure of congenital coronary artery fistulae: results and angiographic follow-up.
经皮闭合先天性冠状动脉瘘：结果和血管造影随访。
JACC Cardiovasc Interv. 2011 Jul;4(7):814-21. doi: 10.1016/j.jcin.2011.03.014.