Noda Kazuki, Kawamoto Naonori, Kainuma Satoshi, Ikuta Ayumi, Tadokoro Naoki, Kakuta Takashi, Fujita Tomoyuki, Fukushima Satsuki
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Ann Thorac Surg Short Rep. 2022 Sep 26;1(1):27-29. doi: 10.1016/j.atssr.2022.09.010. eCollection 2023 Mar.
The surgical indication for aneurysmal coronary-pulmonary artery fistula (CPAF) has not yet been established. We present 2 cases of aneurysmal CPAFs successfully treated with bilateral minithoracotomy. Case 1 involved a 40-year-old woman who presented with asymptomatic CPAFs and aneurysms measuring 25 mm in diameter. Considering her cosmetic concerns, CPAFs were surgically treated through minithoracotomy, with no major postoperative complications. In case 2, an 82-year-old woman with dyspnea was diagnosed with high-flow coronary-pulmonary artery shunts with aneurysms. Given her age and frailty, surgical closure through minithoracotomy was indicated for the symptoms of heart failure caused by significant left-to-right shunts.
动脉瘤样冠状动脉-肺动脉瘘（CPAF）的手术指征尚未确立。我们报告2例经双侧小切口开胸手术成功治疗的动脉瘤样CPAF病例。病例1为一名40岁女性，表现为无症状的CPAF和直径25 mm的动脉瘤。考虑到她对美观的担忧，通过小切口开胸手术对CPAF进行了外科治疗，术后无重大并发症。病例2为一名82岁女性，因呼吸困难被诊断为高流量冠状动脉-肺动脉分流合并动脉瘤。鉴于其年龄和身体虚弱，因明显的左向右分流导致心力衰竭症状，故行小切口开胸手术进行封堵。
