Aydoğan U, Dindar A, Ayhan Y I, Tanman B, Ertuğrul T, Omeroğlu R, Cantez T
Department of Pediatrics, Istanbul University Faculty of Medicine, Capa.
Turk J Pediatr. 1996 Apr-Jun;38(2):245-51.
A ten-year-old girl who presented with a continuous murmur was diagnosed with a right coronary to right ventricular fistula with colored Doppler echocardiography and selective arteriography. She underwent traditional treatment-ligation of the fistula by sternotomy. Afterwards, the systolic component of the murmur persisted and repeat arteriography showed a residual shunt through the fistula, with no change in the diameter of the right coronary artery. We describe the first case in which a residual fistula was treated with a detachable balloon embolization.
一名10岁女童因持续性杂音就诊，经彩色多普勒超声心动图和选择性动脉造影诊断为右冠状动脉至右心室瘘。她接受了传统治疗——通过胸骨切开术结扎瘘管。术后，杂音的收缩期成分持续存在，再次动脉造影显示存在通过瘘管的残余分流，右冠状动脉直径无变化。我们描述了首例采用可脱性球囊栓塞治疗残余瘘管的病例。
