外科手术治疗巨大右冠状动脉瘤合并右房瘘1例  

Surgical treatment of huge right coronary aneurysm with right atrial fistula:one case report

作　　者：王石雄[1] 李勇男[1] 罗伟[1] 李雄 刘素丽 吴世群 高秉仁[1] 吴向阳[1] WANG Shixiong;LI Yongnan;LUO Wei;LI Xiong;LIU Suli;WU Shiqun;GAO Bingren;WU Xiangyang(Department of Cardiac Surgery,Lanzhou University Second Hospital,Lanzhou,730030,China)

机构地区：[1]兰州大学第二医院心脏外科,兰州730030

出　　处：《临床心血管病杂志》2022年第8期684-686,共3页Journal of Clinical Cardiology

基　　金：兰州大学第二医院“萃英科技创新”计划青年基金项目(No:CY2019-QN12);甘肃省科技厅青年科技基金计划项目(No:21JR1RA164);甘肃省高等学校创新基金项目(No:2020B-037);甘肃省卫生行业管理计划(No:GSWSKY-2019-77)。

摘　　要：冠状动脉瘤是一种少见的冠状动脉疾病,尤其合并冠状动脉瘘,本研究报道1例巨大右冠状动脉瘤合并右房瘘男性患者的临床资料与诊疗过程,明确诊断后行冠状动脉瘤结扎、瘘口修补并同期行冠状动脉旁路移植术,术后恢复良好。Coronary artery aneurysm(CAA)is an unusual coronary artery disease and a rare condition,especially giant coronary artery aneurysms associated with coronary artery fistula.Here,we described a 29-year-old male patient who presented with a giant right CAA and coronary arterial fistula from the right coronary artery to the right atrium.Coronary aneurysm ligation,fistula repair,and coronary artery bypass grafting were performed simultaneously after the diagnosis,and the postoperative recovery was good.

关 键 词：冠状动脉瘤 冠状动脉瘘 冠状动脉旁路移植术 外科治疗 

分 类 号：R543.3[医药卫生—心血管疾病]