Furniss S S, Mitchell L, Kitipawong P
Department of Academic Cardiology, Freeman Hospital, Newcastle upon Tyne, U.K.
Eur Heart J. 1995 Aug;16(8):1147-8. doi: 10.1093/oxfordjournals.eurheartj.a061060.
A 23-year-old man 6 months after post-orthotopic heart transplant was troubled by fatigue and breathlessness and noted to have a continuous murmur. Coronary angiography revealed five fistulae from the left anterior descending artery draining into the right ventricle. The left-to-right shunt was obliterated by coil embolization and this was associated with improvement in the patient's symptoms and a reduction in the murmur.
一名23岁男性在原位心脏移植术后6个月,出现疲劳和呼吸困难,并发现有连续性杂音。冠状动脉造影显示左前降支有5条瘘管引流至右心室。通过弹簧圈栓塞使左向右分流消失,这与患者症状改善及杂音减轻相关。