Bauer H H, Allmendinger P D, Flaherty J, Owlia D, Rossi M A, Chen C
Division of Cardiology, Hartford Hospital, University of Connecticut School of Medicine, USA.
Ann Thorac Surg. 1996 Nov;62(5):1521-3. doi: 10.1016/0003-4975(96)00757-6.
Congenital coronary arteriovenous fistula is an unusual, but not rare, coronary anomaly. Management of asymptomatic fistulas is controversial because of great variability in natural history. We describe an 82-year-old female patient with spontaneous rupture of a previously undetected left main coronary artery-to-pulmonary artery coronary arteriovenous fistula, with resulting hemopericardium and cardiac tamponade. Emergent surgical exploration and repair provided successful treatment.
先天性冠状动脉瘘是一种不常见但并非罕见的冠状动脉异常。由于其自然病史差异很大，无症状瘘的治疗存在争议。我们描述了一名82岁女性患者，其先前未被发现的左冠状动脉主干至肺动脉的冠状动脉瘘自发破裂，导致心包积血和心脏压塞。紧急手术探查和修复提供了成功的治疗。
