手术治疗冠状动脉瘘1例

One Case of coronary artery Fistula was treated by Operation

冠状动脉瘘(CAF)是一种罕见的先天性冠状动脉畸形,亦可继发于心脏介入治疗或心脏手术。CAF是冠状动脉与心腔或全身或肺循环任何部分的异常血管沟通。由于体检时持续杂音或影像学上的意外发现,计算机断层血管造影(CTA)和冠状动脉造影是首选的诊断成像方式。瘘管的解剖结构和患者年龄、有无并发症等特点决定经导管或外科治疗策略。我们在此报告一例41岁男性胸痛患者,经超声心动图发现并经冠状动脉造影证实,存在冠状动脉左前降支和右冠状动脉至肺动脉瘘管合并动脉瘤,经外科手术治疗,术后顺利康复出院。

Coronary artery Fistula(CAF)is a rare congenital coronary artery malformation,it can also be secondary to cardiac interventional therapy or cardiac surgery.CAF is an abnormal communication between coronary artery and heart cavity or any part of the whole body or lung circulation.Computed Tomographic angiography(CTA)and coronary angiography(CAG)are the preferred diagnostic imaging modality because of persistent murmurs or unexpected findings in imaging.The anatomic structure of the fistula,the age of the patient,and the presence or absence of complications determine the strategy of transcatheter or surgical treatment.We report a 41-year-old male patient with chest pain who presented with an aneurysm of the left anterior descending coronary artery and a fistula from the right coronary artery to the pulmonary artery,which was found by echocardiography and confirmed by coronary angiography,and was discharged from the hospital after surgery.