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伴有肺动脉瘘的维厄桑斯动脉环巨大动脉瘤。

A Giant Aneurysm of Vieussens' Arterial Ring With Pulmonary Artery Fistula.

作者信息

Nakata Kosuke, Moriyama Shuji, Yoshinaga Takashi, Ishimaru Takehiro, Doi Hideki, Matsumura Toshiyuki, Fukui Toshihiro

机构信息

Department of Cardiovascular Surgery, Kumamoto Rosai Hospital, Yatsushiro, Kumamoto, Japan.

Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan.

出版信息

Ann Thorac Surg Short Rep. 2024 Jun 4;2(4):742-745. doi: 10.1016/j.atssr.2024.05.008. eCollection 2024 Dec.

DOI:10.1016/j.atssr.2024.05.008
PMID:39790610
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708151/
Abstract

A 79-year-old woman presented with a systolic murmur and dyspnea on exertion. Transthoracic echocardiography and multidetector-row computed tomography revealed a giant aneurysm in an abnormal vessel known as Vieussens' arterial ring (VAR). A pulmonary artery VAR fistula was also observed. Cardiac catheterization revealed a high pulmonary-to-systemic flow ratio (Qp/Qs = 2.1). We ligated the VAR, resected the aneurysm, and closed the fistula using a bovine pericardial patch. The patient's postoperative clinical course was uneventful.

摘要

一名79岁女性因收缩期杂音和劳力性呼吸困难就诊。经胸超声心动图和多排螺旋计算机断层扫描显示，在一个名为维厄桑斯动脉环（VAR）的异常血管中存在巨大动脉瘤。还观察到肺动脉VAR瘘。心导管检查显示肺循环与体循环血流量比值较高（Qp/Qs = 2.1）。我们结扎了VAR，切除了动脉瘤，并使用牛心包补片封闭了瘘口。患者术后临床过程平稳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/11708151/8aeead5fdc09/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/11708151/bfc853c0c148/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/11708151/deb19a380146/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/11708151/8aeead5fdc09/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/11708151/bfc853c0c148/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/11708151/deb19a380146/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/11708151/8aeead5fdc09/gr3.jpg

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本文引用的文献

1
Coronary Arteries Aneurysms: A Case-Based Literature Review.冠状动脉瘤：基于病例的文献综述。
Diagnostics (Basel). 2022 Oct 19;12(10):2534. doi: 10.3390/diagnostics12102534.
2
Luminal diameter ratio of Vieussens' arterial ring is valuable in determining appropriate clinical management for patients with pathologic Vieussens' arterial ring.维厄桑斯动脉环的管腔直径比对于确定病理性维厄桑斯动脉环患者的适当临床管理很有价值。
Int J Cardiol. 2021 Feb 15;325:161-167. doi: 10.1016/j.ijcard.2020.10.019. Epub 2020 Oct 14.
3
Giant coronary aneurysms, from diagnosis to treatment: A literature review.
巨大冠状动脉瘤：从诊断到治疗——文献综述。
Arch Cardiovasc Dis. 2020 Jan;113(1):59-69. doi: 10.1016/j.acvd.2019.10.008. Epub 2019 Dec 19.
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Vieussens' arterial ring: a rare coronary variant anatomy.维厄桑氏动脉环：一种罕见的冠状动脉变异解剖结构。
Diagn Interv Radiol. 2019 Mar;25(2):109-113. doi: 10.5152/dir.2019.17449.
5
The Embryologic Origin of Vieussens' Ring.维厄桑斯环的胚胎学起源。
J Invasive Cardiol. 2019 Mar;31(3):49-51. doi: 10.25270/jic/19.3103.49.
6
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.
7
Giant right coronary artery aneurysm- case report and literature review.巨大右冠状动脉瘤——病例报告及文献综述
J Cardiothorac Surg. 2009 May 1;4:18. doi: 10.1186/1749-8090-4-18.
8
Hydrodynamic factors in the production of aneurysms.动脉瘤形成中的流体动力学因素。
Am J Surg. 1955 Aug;90(2):200-9. doi: 10.1016/0002-9610(55)90751-0.