Yamamoto H, Goh K, Akasaka N, Sasajima T, Kubo Y, Oka R
First Department of Surgery, Asahikawa Medical College, Hokkaido, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Nov;42(11):2159-63.
We report a very rare case of an infant with coronary arterial fistula in whom the communication between a dilated right coronary artery and the coronary sinus was found. The patient was 1-year-old. She had pulmonary congestion and cardiomegaly due to the left-to-right shunt through the fistula, and underwent ligations of the fistula. Ligations of the fistula was indicated because the patient was too small to undergo a fistula resection and coronary arterial bypass grafting. Although the patient had a successful post-operative course, we are paying attention to the aneurysmal change of the dilated right coronary artery proximal to the site of ligations.
我们报告了一例非常罕见的患有冠状动脉瘘的婴儿病例，在该病例中发现扩张的右冠状动脉与冠状窦之间存在连通。患者为1岁女童。由于经瘘管的左向右分流，她出现了肺充血和心脏扩大，并接受了瘘管结扎术。之所以进行瘘管结扎，是因为患者年龄太小，无法进行瘘管切除术和冠状动脉搭桥术。尽管患者术后过程顺利，但我们仍在关注结扎部位近端扩张的右冠状动脉的动脉瘤样变化。
