Wax D F, MaGee A G, Nykanen D, Benson L N
Department of Pediatrics, University of Toronto School of Medicine, Canada.
Cathet Cardiovasc Diagn. 1997 Sep;42(1):68-9. doi: 10.1002/(sici)1097-0304(199709)42:1<68::aid-ccd20>3.0.co;2-h.
Transcatheter embolization of coronary artery fistulae has become the therapy of choice for this uncommon lesion. We report a case in which transcatheter embolization was performed in a nine-year-old boy with a large fistula originating from the proximal portion of the left anterior descending artery and communicating with the pulmonary artery and the right coronary artery. The fistula was occluded 'antegrade' by cannulating the connection with the pulmonary artery to deliver occluding coils.
经导管栓塞冠状动脉瘘已成为这种罕见病变的首选治疗方法。我们报告了一例对一名9岁男孩进行经导管栓塞的病例,该男孩患有一个大的瘘管,起源于左前降支近端,与肺动脉和右冠状动脉相通。通过将导管插入与肺动脉的连接处以输送封堵线圈,“顺行”封堵了瘘管。