Yasuma K, Takata S, Yuasa T, Takamura M, Nagai H, Sakagami S, Kobayashi K
First Department of Internal Medicine, School of Medicine, Kanazawa University, Japan.
Jpn Circ J. 1998 Oct;62(10):783-4. doi: 10.1253/jcj.62.783.
A 49-year-old woman presented with bilateral coronary fistulas with multiple sites of drainage. She had been referred to hospital for evaluation of a cardiac murmur, and a coronary arteriogram revealed multiple coronary fistulas. One fistula originated from the proximal part of the left anterior descending coronary artery and connected to the main pulmonary artery. Three coronary artery fistulas arised from a conal branch of the right coronary artery and drained into the main pulmonary artery, the right atrium and the great cardiac vein. This is the first reported case of bilateral coronary fistulas with multiple sites of drainage.
一名49岁女性因双侧冠状动脉瘘伴多处引流而就诊。她因心脏杂音被转诊至医院，冠状动脉造影显示多处冠状动脉瘘。一处瘘管起源于左前降支冠状动脉近端，与主肺动脉相连。三处冠状动脉瘘起源于右冠状动脉圆锥支，分别引流至主肺动脉、右心房和心大静脉。这是首例双侧冠状动脉瘘伴多处引流的报道病例。
