Lowry R W, Young J B, Kleiman N S, Zoghbi W A
Methodist Hospital, Houston, Texas.
J Am Soc Echocardiogr. 1993 Jul-Aug;6(4):449-52. doi: 10.1016/s0894-7317(14)80244-7.
A fistula between the distal right coronary artery and coronary sinus was detected by transesophageal echocardiography in a heart transplant recipient. Cineangiograms confirmed this finding to be new since the time of angiography one year earlier. Although coronary artery-to-right ventricular fistulas are not an uncommon complication of endomyocardial biopsy, the echocardiographic findings of a fistula involving the coronary sinus have not been previously described.
经食管超声心动图在一名心脏移植受者中检测到右冠状动脉远端与冠状窦之间存在瘘管。电影血管造影证实这一发现自一年前血管造影时起即为新发。虽然冠状动脉至右心室瘘是心内膜心肌活检的一种常见并发症,但此前尚未有涉及冠状窦瘘的超声心动图表现的描述。