老年双支冠状动脉瘘与左心系统形成异常交通一例报道  

Double Branches of Coronary Artery Fistula Formed Abnormal Traffic in Left Heart System in the Aged:a Case Report

作　　者：龚国平 王虹[2] 何新兵[1] 张以昆[1] 赖文盈 GONG Guo-ping;WANG Hong;HE Xin-bing;ZHANG Yi-kun;LAI Wen-ying(Department of Cardiopulmonary Diseases,the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530021,China;Department of Cardiovascular Medicine,the People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西中医药大学第一附属医院心肺病科,广西壮族自治区南宁市530021 [2]广西壮族自治区人民医院心血管内科,广西壮族自治区南宁市530021

出　　处：《实用心脑肺血管病杂志》2018年第10期115-117,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2017077)

摘　　要：冠状动脉瘘(CAF)是指左、右冠状动脉主干及其分支与左右心腔、冠状静脉、肺动脉主干形成异常交通,约90%的CAF起源于单支冠状动脉并瘘入右心系统。本文报道了1例老年双支CAF与左心系统形成异常交通患者,主要表现为第一对角支近端及右冠状动脉远端与冠状静脉交通并最终流入左心系统,属临床罕见病例。Coronary artery fistula(CAF)means formation of abnormal traffic between left/right main coronary artery,or coronary arterial tree and left/right chambers of heart,coronary vein and main pulmonary artery,about90%of CAF originated from single coronary artery with fistula into right heart system.This paper reported a elderly patient with double branches of CAF formed abnormal traffic with left heart system,mainly performed as abnormal traffic between proximal end of the first diagonal branch,distal right coronary artery and coronary vein,with fistula into left heart system,which was rarely seen on clinic.

关 键 词：冠状动脉疾病 动静脉瘘 左心系统 病例报告 

分 类 号：R541.4[医药卫生—心血管疾病]