Bilateral coronary artery-right ventricular fistula with rare huge tortuosity entering the same site:case report
10.3969/j.issn.1004-8812.2024.04.010
- VernacularTitle:汇入于相同部位的巨大迂曲双侧冠状动脉-右心室瘘1例
- Author:
Wei-Song TANG
1
;
Rong-Li XU
;
Xing-Jiu CAI
;
Xiao-Li FANG
;
Guan-Liang CHEN
;
Hai-Rong LI
Author Information
1. 海南医学院附属海南医院 海南省人民医院心血管内科,海南海口 570100
- Keywords:
Bilateral coronary artery-right ventricular fistula;
Coronary artery diseases;
Anomaly of coronary artery
- From:
Chinese Journal of Interventional Cardiology
2024;32(4):236-240
- CountryChina
- Language:Chinese
-
Abstract:
Coronary artery fistula(CAF)is defined as the direct connection between coronary artery and cardiac cavity,great vessel or other vascular structures.Most CAF are congenital and often present as persistent murmur in asymptomatic children.Although abnormal shunt of most coronary fistulas has little effect on hemodynamics,some larger fistulas can also lead to a series of complications,such as congestive heart failure.Therefore,closed CAF has been recommended to treat or prevent myocardial ischemia,congestive heart failure,endarteritis,arrhythmia,thromboembolism,aneurysm dilatation and rupture and other complications.CAF is a rare congenital heart disease,and bilateral CAF originating from two coronary arteries is even rarer.At present,there are rare systematic reports on bilateral CAF.Therefore,a case of huge bilateral CAF at the same site was reported,and systematically,this kind of case was summarized,so as to improve the clinical attention of diagnosis and treatment of this kind of CAF.Nowadays,some new interventional devices and technologies are emerging with the continuous progress of cardiovascular interventional technology,making the treatment more accurate,safe and effective.At the same time,there is also a clearer understanding of the indications and operating standards for interventional treatment,which is more operable and predictable during the treatment process.Therefore,interventional treatment of CAF may partially replace surgical treatment as the preferred treatment method.
