Hijazi A, Mazhar R, Hajar R
Cardiology and Cardiovascular Surgery Department, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar.
Ann Thorac Cardiovasc Surg. 1998 Oct;4(5):286-7.
We present a case of a 25-year-old male with a large secondum atrial septal defect (ASD) associated with a coronary artery fistula (CAF) between the right coronary artery and the right atrium. The ASD was diagnosed preoperatively by transesophageal echocardio-graphy (TEE). The fistula was found at surgery. The ASD and fistula were closed successfully without any complication. The case highlights the common presenting features of the two conditions as well as the low sensitivity of pre-operative TEE in diagnosing CAF in the setting of an ASD.
我们报告一例25岁男性患者，患有巨大继发孔型房间隔缺损（ASD），并伴有右冠状动脉与右心房之间的冠状动脉瘘（CAF）。术前经食管超声心动图（TEE）诊断出ASD。手术中发现了瘘管。成功闭合了ASD和瘘管，无任何并发症。该病例突出了这两种疾病的常见表现特征，以及术前TEE在诊断ASD合并CAF时的低敏感性。
