Bilateral coronary-pulmonary artery fistula with paroxysmal atrial arrhythmia:a case report  

作　　者：Tuo Han Li-Xia Wang Yi-Wen Wang Zhen-Zhen Liu Yan-Chao Hu Cong-Xia Wang 

机构地区：[1]Department of Cardiology,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi’an,China

出　　处：《Life Research》2022年第2期28-31,共4页TMR生命研究

基　　金：supported by the National Natural Science Foundation of China(No.82100359,No.81273878).

摘　　要：Coronary-pulmonary artery fistula(CPAF)is a relatively rare type of congenital coronary artery variation,which is mostly asymptomatic and is discovered incidentally by coronary artery CT imaging or angiography.However,CPAF can cause a phenomenon of inter-artery steal and hemodynamic disorders,leading to myocardial ischemia,arrhythmia,heart failure,syncope and even cardiac sudden death in severe cases.Here we reported a case of a 53-year-old female who complained of intermittent palpitations and had a history of paroxysmal atrial fibrillation.The coronary angiography revealed bilateral coronary artery fistulae to pulmonary artery.In this case,the multiple fistulas were very rare and significant.Multidisciplinary treatment should be considered,including cardiologists,surgeons,anesthesiologists and nurses,etc.Regular follow-up is essential for long-term disease management after diagnosis or surgery.

关 键 词：coronary artery fistula pulmonary fistula coronary steal atrial arrhythmia 

分 类 号：R54[医药卫生—心血管疾病]