Sasano S, Itaoka T, Kaguraoka H, Kaneyasu H, Ito H, Nishiuchi M, Onuki T, Yokoyama M, Nitta S
Department of Surgery I, Tokyo Women's Medical College, Japan.
Kyobu Geka. 1993 Jun;46(6):520-3.
A case of coronary-pulmonary artery fistulae was presented with the review of the literature. A 46-year-old man was admitted to our department with an ischemic change in leads III, a VF on ECG. Although he had no complaint, the exercise ECG showed significant depression of ST segment in leads II, III, V4, V5. Coronary angiography revealed fistulae from left anterior descending branch to main pulmonary artery, and also from right coronary artery to main pulmonary artery. No coronary organic narrowing were found. Ligation of the fistulae was performed and postoperative course was uneventful.
本文报告一例冠状动脉-肺动脉瘘，并复习相关文献。一名46岁男性因心电图Ⅲ导联及VF导联出现缺血性改变入住我科。尽管他无不适主诉，但运动心电图显示Ⅱ、Ⅲ、V4、V5导联ST段明显压低。冠状动脉造影显示左前降支至主肺动脉以及右冠状动脉至主肺动脉存在瘘管。未发现冠状动脉器质性狭窄。遂行瘘管结扎术，术后恢复顺利。
