Miyamura H, Eguchi S, Watanabe H, Sugawara M, Takahashi Y, Shinonaga M, Tatebe S
Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Japan.
Jpn Circ J. 1995 Dec;59(12):786-9. doi: 10.1253/jcj.59.786.
Four pediatric cases of congenital coronary artery fistula were surgically treated and followed for 8 years. In the 3 cases of right coronary artery to right ventricle fistula, regression of coronary artery dilatation was observed postoperatively. In the 1 case of circumflex artery to right atrium fistula, aneurysmal dilatation of the abnormal vessel persisted for 8 years. A reduction in vessel size is expected if the fistula-related coronary artery has a normal course and normal branchings. When the aneurysmal vessel takes an abnormal course without branches, it should be removed surgically along with fistula closure.
对4例先天性冠状动脉瘘患儿进行了手术治疗，并随访8年。在3例右冠状动脉至右心室瘘病例中，术后观察到冠状动脉扩张有所消退。在1例回旋支动脉至右心房瘘病例中，异常血管的动脉瘤样扩张持续了8年。如果与瘘相关的冠状动脉走行和分支正常，预计血管大小会缩小。当动脉瘤样血管走行异常且无分支时，应在关闭瘘的同时手术切除。
