Aoun N B, Christiani L A, Magalhães M E, Succi E, Meier M A, Albanesi Filho F M
Hospital Universitário Pedro Ernesto, Rio de Janeiro.
Arq Bras Cardiol. 1996 Mar;66(3):157-60.
A 17 year old male adolescent was admitted to the hospital due to dyspnea and cyanosis, since the age of 6 years. On physical examination, it was found a continuous murmur over the left esternal border at the 4th and 5th intercostal spaces suggesting a coronary fistula. A color-echocardiogram associated with an angiography confirmed the diagnosis of coronary fistula and severe pulmonary stenosis. The functional consequence was a right to left shunt with cyanosis. A surgical repair was performed with closure of the fistula at the point where it drained into the right ventricle plus a pulmonary commissurotomy. The patient had an uneventful recovery.
一名17岁男性青少年自6岁起因呼吸困难和发绀入院。体格检查发现，在第4和第5肋间左胸骨旁有连续性杂音，提示冠状动脉瘘。彩色超声心动图结合血管造影证实了冠状动脉瘘和严重肺动脉狭窄的诊断。其功能后果是右向左分流伴发绀。进行了手术修复，在瘘管流入右心室处闭合瘘管，并进行了肺动脉瓣切开术。患者恢复顺利。
