Coronary artery fistula is a rare heart defect found in approximately 0.2%of the adult population undergoing coronary angiography. The diagnosis is usually m ade by aortography and selective coronary angiography. We r...Coronary artery fistula is a rare heart defect found in approximately 0.2%of the adult population undergoing coronary angiography. The diagnosis is usually m ade by aortography and selective coronary angiography. We report here an adult p atient with rheumatic mitral stenosis and left anterior descending coronary arte ry and pulmonary conus branch of right coronary artery-pulmonary artery fistula s detected by coronary angiography.展开更多
1临床资料患者男性,40岁,主因“胸闷3 d”入院。患者于3 d前无明显诱因出现胸闷,无明显胸痛,与活动无明显关系,每次发作持续约数小时,无头昏、黑曚、晕厥、腹痛等,可平卧,无夜间阵发性呼吸困难。既往高血压病史2年（血压最高达180/110 m...1临床资料患者男性,40岁,主因“胸闷3 d”入院。患者于3 d前无明显诱因出现胸闷,无明显胸痛,与活动无明显关系,每次发作持续约数小时,无头昏、黑曚、晕厥、腹痛等,可平卧,无夜间阵发性呼吸困难。既往高血压病史2年（血压最高达180/110 mm Hg,1 mm Hg=0.133 k Pa）,服用缬沙坦、非洛地平治疗。入院查体：体温36.5℃,脉搏70次/min,呼吸20次/min,血压150/90 mm Hg。展开更多
Background: Congenital coronary artery fistulas, a subgroup of anomalies of the coronary arteries, are an extremly rare cardiac defect. Most patients are asymptomatic, and if symptoms are presented, they depend on the...Background: Congenital coronary artery fistulas, a subgroup of anomalies of the coronary arteries, are an extremly rare cardiac defect. Most patients are asymptomatic, and if symptoms are presented, they depend on the underlying anatomy. Knowledge of those fistulas is important for prognosis and management. Methods: Thirteen adult patients with congenital coronary fistulas(8 male, 5 female) were operated in our department during the last decade(1990-1999). Mean age was 61.5±10.8 years. Diagnosis was made by coronary angiography, and 15 congenital coronary artery fistulas were found. Results: All patients were symptomatic with clinical symptoms depending on the associated cardiac disorder. Coronary artery fistulas originated from the proximal left descending artery(n=10), left main stem(n=3), circumflex artery(n=1), right coronary artery(n=1), and drained into the main pulmonary artery(n=14) and left ventricle(n=1). Nine fistulas(60%) were interrupted on the outside of the heart, and six fistulas(40%) were closed through the opened pulmonary artery. There was no surgical death and no fistula-related complication. Conclusions: Surgical closure of congenital coronary artery fistulas in adults can be performed with a very low risk, and closure is recommended to prevent complications.展开更多
文摘Coronary artery fistula is a rare heart defect found in approximately 0.2%of the adult population undergoing coronary angiography. The diagnosis is usually m ade by aortography and selective coronary angiography. We report here an adult p atient with rheumatic mitral stenosis and left anterior descending coronary arte ry and pulmonary conus branch of right coronary artery-pulmonary artery fistula s detected by coronary angiography.
文摘1临床资料患者男性,40岁,主因“胸闷3 d”入院。患者于3 d前无明显诱因出现胸闷,无明显胸痛,与活动无明显关系,每次发作持续约数小时,无头昏、黑曚、晕厥、腹痛等,可平卧,无夜间阵发性呼吸困难。既往高血压病史2年（血压最高达180/110 mm Hg,1 mm Hg=0.133 k Pa）,服用缬沙坦、非洛地平治疗。入院查体：体温36.5℃,脉搏70次/min,呼吸20次/min,血压150/90 mm Hg。
文摘Background: Congenital coronary artery fistulas, a subgroup of anomalies of the coronary arteries, are an extremly rare cardiac defect. Most patients are asymptomatic, and if symptoms are presented, they depend on the underlying anatomy. Knowledge of those fistulas is important for prognosis and management. Methods: Thirteen adult patients with congenital coronary fistulas(8 male, 5 female) were operated in our department during the last decade(1990-1999). Mean age was 61.5±10.8 years. Diagnosis was made by coronary angiography, and 15 congenital coronary artery fistulas were found. Results: All patients were symptomatic with clinical symptoms depending on the associated cardiac disorder. Coronary artery fistulas originated from the proximal left descending artery(n=10), left main stem(n=3), circumflex artery(n=1), right coronary artery(n=1), and drained into the main pulmonary artery(n=14) and left ventricle(n=1). Nine fistulas(60%) were interrupted on the outside of the heart, and six fistulas(40%) were closed through the opened pulmonary artery. There was no surgical death and no fistula-related complication. Conclusions: Surgical closure of congenital coronary artery fistulas in adults can be performed with a very low risk, and closure is recommended to prevent complications.
