摘要
先天性冠状动脉瘘(CCAF)17例起源于右冠状动脉者14例,起源于左冠状动脉者3例。瘘口位于右室者11例,左室者3例,肺动脉2例,右房1例。CCAF无特征性的症状和体征,易致误诊,彩色Doppler有较高的诊断价值,升主动脉造影有决定性意义。本病确诊以后应尽早手术,早期手术预后良好,40岁以后因心功能受累而术后并发症多,影响疗效。合并法乐氏四联症、左室室壁瘤、巨大冠状动脉瘤和左冠状动脉起源异位各1例,均同时手术矫正,无早期死亡。
In this group of 17 patients with congenital coronary artery fistula (CCAF), right CCAF occurred in 14 patients and left CCAF in the remaining 3 patients. In 11 patients, CCAF opened into the right ventricle, in 3 patients the left ventricle, in 2 patients the pulmonary artery and 1 patient the right atrium. Wrong preparative dignosis of CCAF occurred easily because of the lack of typical symptom and physical signs. However, color two-dimensional echocardiography, especially ascending aortography, was highly valuable and decisive in the diagnosis of CCAF. Once a right diagnosis was made, earlier operation should be performed because of good prognosis. More postoperative complications might take place among the patients over 40 years with impaired heart function, leading to poor operative results, if operation was delayed. Concomitant malformations included tetralogy of Fallot, left ventricular aneurysm, large coronary artery aneurysm and anomalous origin of the left coronary artery, which was found in one patient each, and they were also repaired. No patient died in the early postoperative period.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1992年第5期327-329,共3页
Medical Journal of Chinese People's Liberation Army
关键词
冠状动脉瘘
诊断
Coronary artery fistulae
Diagnosis
Treatment
