Goto Y, Sakurada T, Suzuki I, Kondo K, Abe T
Department of Cardiovascular Surgery, Akita Medical Center, Japan.
Kyobu Geka. 1995 Apr;48(4):301-5.
We performed the operation for coronary artery-to-pulmonary artery fistula with aneurysm in two patients. The coronary angiograms of one patient, who was a 63-year-old female, revealed coronary artery-to-pulmonary artery fistula originated from the left coronary artery with 3 aneurysms of 2 cm in diameter, respectively. The angiogram of another patient, who was a 77-year-old female, revealed coronary artery-to-pulmonary artery fistula originated from both coronary arteries with the giant aneurysm of 7 cm in diameter. We decided to operate by the reason of possibility of rupture of the aneurysms, and performed resection of the fistulas and the aneurysms with the closure of the drainage openings into the pulmonary artery with the aid of cardiopulmonary bypass. It was recommended to resect the coronary aneurysm before growing big in the patient with the coronary artery-to-pulmonary artery fistula.
我们为两名患有冠状动脉-肺动脉瘘合并动脉瘤的患者实施了手术。其中一名63岁女性患者的冠状动脉造影显示，冠状动脉-肺动脉瘘起源于左冠状动脉，分别有3个直径为2厘米的动脉瘤。另一名77岁女性患者的血管造影显示，冠状动脉-肺动脉瘘起源于双侧冠状动脉，有一个直径7厘米的巨大动脉瘤。由于动脉瘤有破裂的可能，我们决定进行手术，在体外循环辅助下切除瘘管和动脉瘤，并封闭肺动脉引流口。对于患有冠状动脉-肺动脉瘘的患者，建议在冠状动脉瘤变大之前将其切除。
