冠状动脉瘘作为左前降支冠状动脉狭窄的一种旁路。
Coronary artery fistula as a bypass of a left anterior descending coronary artery stenosis.
作者信息
Castedo E, Oteo J F, Burgos R, Ugarte M, Cristóbal C, Tebar E, Ugarte J
机构信息
Department of Cardiothoracic Surgery, Hospital Puerta de Hierro, Madrid, Spain.
出版信息
Ann Thorac Surg. 1997 Dec;64(6):1813-4.
We present a case of coronary artery fistula originating from the proximal left anterior descending coronary artery anterior to a critical atheromatous stenosis, draining into the main trunk of the pulmonary artery and with a third branch draining into the coronary vessel itself, distal to the lesion. The diagnosis was made when we were performing a diagnostic coronary arteriography on a patient with unstable angina. The possible association of the fistula and coronary atherosclerosis is discussed.
我们报告一例冠状动脉瘘病例，其起源于左前降支近端，位于严重动脉粥样硬化狭窄前方，引流至肺动脉主干，并有第三分支引流至病变远端的冠状动脉本身。该诊断是在我们对一名不稳定型心绞痛患者进行诊断性冠状动脉造影时作出的。文中讨论了瘘与冠状动脉粥样硬化可能的关联。
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