Abe T, Kamata K, Nakanishi K, Morishita K, Komatsu S
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Japan.
Ann Thorac Surg. 1996 May;61(5):1520-3. doi: 10.1016/0003-4975(96)80001-R.
We report a very rare case of an adult with coronary artery fistula and aneurysm formation. This fistula was successfully closed with direct suture closures by opening the aneurysm under complete cardiopulmonary bypass. The distal terminated orifice of the fistula, which drained to the coronary sinus, was also closed. Finally, aneurysmorrhaphy with overlapping mattress sutures was performed. The postoperative angiographic study demonstrated normal coronary artery distribution, and the patient was asymptomatic without recurrence at 2 years after the operation.
我们报告了一例非常罕见的成年患者，患有冠状动脉瘘并形成动脉瘤。在完全体外循环下打开动脉瘤，通过直接缝合成功闭合了该瘘管。引流至冠状窦的瘘管远端终止口也被闭合。最后，采用重叠褥式缝合进行动脉瘤修补术。术后血管造影研究显示冠状动脉分布正常，患者术后2年无症状且无复发。
