Pai Run-Tian, Tan Zhen, Hongxin Li, Sun Shi-Bin
School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, China.
Department of Cardiovascular Surgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Engineering Research Center for Heart Transplant and Material, Jinan, China.
Medicine (Baltimore). 2025 Jun 20;104(25):e42830. doi: 10.1097/MD.0000000000042830.
As a rare congenital heart malformation, coronary artery fistula (CAF) may lead to serious complications such as myocardial ischemia. While conservative management can alleviate symptoms, surgical ligation or interventional occlusion offers a definitive cure. This article reports a unique interventional case.
A 6-year-old female patient diagnosed as CAF presented with exertional chest pain, and imaging revealed a "sausage-like" aneurysmal dilation of the left anterior descending coronary artery, with a tail-like structure at its distal end draining into the right ventricle at an acute angle.
The patient was diagnosed with a CAF.
The medical team innovatively employed a probe-assisted delivery system to successfully perform a transthoracic occlusion procedure under real-time guidance exclusively by transesophageal echocardiography.
This case demonstrates that, even in the face of complex anatomical pathways, this radiation-free, precise occlusion technique can achieve safe and effective therapeutic outcomes, providing a new and reliable option for the treatment of CAF.
冠状动脉瘘（CAF）作为一种罕见的先天性心脏畸形，可能导致心肌缺血等严重并发症。虽然保守治疗可以缓解症状，但手术结扎或介入封堵可实现根治。本文报道了一例独特的介入治疗病例。
一名6岁女性患者被诊断为CAF，出现劳力性胸痛，影像学检查显示左前降支冠状动脉呈“香肠样”动脉瘤样扩张，其远端有一尾状结构以锐角汇入右心室。
该患者被诊断为CAF。
医疗团队创新性地采用探头辅助输送系统，仅在经食管超声心动图实时引导下成功实施了经胸封堵术。
该病例表明，即使面对复杂的解剖路径，这种无辐射、精确的封堵技术也能实现安全有效的治疗效果，为CAF的治疗提供了一种新的可靠选择。
