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以冠状动脉窃血综合征为表现的冠状动脉瘘:临床警惕性和二次诊断意见的重要性

Coronary Artery Fistula Presenting With Coronary Steal Syndrome: The Significance of Clinical Vigilance and Second Opinions.

作者信息

Lim Enoch Chi Ngai, Lim Chi Eung Danforn

机构信息

Translational Research Department Specialist Medical Services Group Sydney New South Wales Australia.

NICM Health Research Institute Western Sydney University Westmead New South Wales Australia.

出版信息

Clin Case Rep. 2025 Sep 11;13(9):e70874. doi: 10.1002/ccr3.70874. eCollection 2025 Sep.

Abstract

Safety should always come first for the patient. A change in clinical picture should trigger clinicians to seek a fresh perspective and reassess, even if they have been reassured by other specialists, as "innocent" coronary artery fistulae can evolve into serious and potentially deadly conditions.

摘要

对患者而言,安全应始终是首要的。临床症状的变化应促使临床医生寻求新的观点并重新评估,即便他们已从其他专家处获得了安心的答复,因为“无害的”冠状动脉瘘可能会演变成严重且可能致命的状况。

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本文引用的文献

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Coronary Artery Fistula: A Diagnostic Dilemma.冠状动脉瘘:诊断难题
Interv Cardiol. 2023 Nov 23;18:e25. doi: 10.15420/icr.2022.34. eCollection 2023.
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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.
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Coronary artery fistula.冠状动脉瘘。
Ann Thorac Surg. 2012 Jun;93(6):2084-92. doi: 10.1016/j.athoracsur.2012.01.114. Epub 2012 May 5.

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