支架辅助弹簧圈栓塞术治疗合并两个巨大串珠状动脉瘤的冠状动脉-肺动脉瘘：一例罕见病例报告及文献复习
Stent-assisted coil embolization for closure of coronary artery-to-pulmonary fistula with two giant beaded aneurysms: A rare case report and literature review.
作者信息
Li Jianglan, Chen Zhuo, Xie Liping, Xiao Xiaorong, Luo Yanlin
机构信息
Ultrasound Department, Shaoyang Central Hospital, Hunan Province 422000, China.
Echocardiography Medical Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
出版信息
Am Heart J Plus. 2025 Aug 13;58:100590. doi: 10.1016/j.ahjo.2025.100590. eCollection 2025 Oct.
BACKGROUND
Coronary artery-to-pulmonary artery fistula (CPAF) complicated by giant coronary aneurysms is an exceedingly rare anomaly, with limited clinical experience.
CASE SUMMARY
A 77-year-old woman with CPAF and giant aneurysms was diagnosed via multimodal imaging and effectively treated with stent-assisted coil embolization, underscoring its value in high-risk patients.
CONCLUSION
A comprehensive review outlines the key aspects of CPAFs with aneurysms and underscores the importance of tailored management. Although rare, CPAF with giant aneurysms poses a significant risk of rupture or ischemia. Timely diagnosis and tailored interventional management can lead to favorable outcomes.
背景
冠状动脉-肺动脉瘘（CPAF）合并巨大冠状动脉瘤是一种极其罕见的异常情况，临床经验有限。
病例摘要
一名患有CPAF和巨大动脉瘤的77岁女性通过多模态成像得以诊断，并接受了支架辅助弹簧圈栓塞术的有效治疗，突出了该治疗方法在高危患者中的价值。
结论
一项全面综述概述了合并动脉瘤的CPAF的关键方面，并强调了个体化管理的重要性。尽管罕见，但CPAF合并巨大动脉瘤存在破裂或缺血的重大风险。及时诊断和个体化介入治疗可带来良好预后。
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