儿童和成人冠状动脉瘘：25例长期观察病例回顾

Coronary artery fistula in children and adults: a review of 25 cases with long-term observations.

作者信息

Sunder K R, Balakrishnan K G, Tharakan J A, Titus T, Pillai V R, Francis B, Kumar A, Bhat A, Shankaran S

机构信息

Department of Cardiology, Sree Chitra Thirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, India.

出版信息

Int J Cardiol. 1997 Jan 3;58(1):47-53. doi: 10.1016/s0167-5273(96)02792-1.

DOI:10.1016/s0167-5273(96)02792-1

PMID:9021427

Abstract

We studied 25 patients with coronary artery fistula between 1976 and 1994. Age ranged from 1 to 58 years. Twelve patients were symptomatic; seven had dyspnoea, four had angina, one had palpitation and one had syncope. Coronary arteries in four. Coronary artery fistula drained into right ventricle in 11, right atrium in nine, pulmonary artery in four and left ventricle in two. The Qp/Qs ranged from 1.0 to 2.6 with a mean of 1.39 +/- 0.38. Five patients had associated cardiac anomalies. Two had atrial septal defects, one had patent ductus arteriosus, one had atresia of proximal right coronary artery and in one patient, the right coronary was arising from left coronary artery. Five patients underwent surgery without any operative mortality. Thirteen patients were followed-up medically for a mean period of 6.1 +/- 5.1 years. There were no complications related to coronary artery fistula during follow-up. In one patient coronary artery fistula closed spontaneously.

摘要

我们在1976年至1994年间对25例冠状动脉瘘患者进行了研究。年龄范围为1至58岁。12例患者有症状；7例有呼吸困难，4例有心绞痛，1例有心跳过速，1例有晕厥。4例患者的冠状动脉。冠状动脉瘘引流至右心室11例，右心房9例，肺动脉4例，左心室2例。肺循环血流量与体循环血流量之比（Qp/Qs）范围为1.0至2.6，平均为1.39±0.38。5例患者伴有心脏异常。2例有房间隔缺损，1例有动脉导管未闭，1例有右冠状动脉近端闭锁，1例患者右冠状动脉起源于左冠状动脉。5例患者接受了手术，无手术死亡。13例患者接受了平均6.1±5.1年的药物随访。随访期间无与冠状动脉瘘相关的并发症。1例患者的冠状动脉瘘自发闭合。