旋冠状动脉瘘管引流至冠状窦

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Revista Brasileira De Cirurgia Cardiovascular Pub Date : 2022-04-18 DOI:10.21470/1678-9741-2021-0254

Gabriela Carvalho Silva, Diana Patricia Lamprea Sepulveda Silva, E. Tenório, Edmilson Cardoso dos Santos Filho, Fabiana Michelle Feitosa de Oliveira, João Henrique de Andrade Torres, Patrícia Eduardo Teles Correia, Clístanes Lucas Henrique Ferreira, Petrus Thiago Jorge Lopes da Silva, F. Moraes

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引用次数: 0

摘要

冠状动脉瘘引流至冠状窦是一种罕见的血管畸形，其诊断和临床表现通常发生较晚。我们描述了一例72岁的女性患者，其在运动时呼吸困难（纽约心脏协会III级）并伴有心悸。经胸超声心动图显示三尖瓣功能不全。心导管插入术显示旋支冠状动脉的动脉瘤和该动脉的瘘流入冠状窦。患者接受了瘘管结扎和三尖瓣修复术，手术效果良好。

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Circumflex Coronary Artery Fistula Draining into Coronary Sinus

Coronary artery fistula draining into the coronary sinus is a rare vascular malformation, and its diagnosis and clinical manifestations usually occur late. We describe the case of a 72-year-old female patient with dyspnea on exertion (New York Heart Association Class III) associated with palpitations. The transthoracic echocardiogram showed significant tricuspid insufficiency. Cardiac catheterization showed aneurysm of the circumflex coronary artery and fistula of this artery draining into the coronary sinus. The patient underwent fistula ligation and tricuspid valve repair, with excellent surgical results.

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来源期刊

Revista Brasileira De Cirurgia Cardiovascular CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY

CiteScore

2.10

自引率

0.00%

发文量

176

审稿时长

20 weeks

期刊介绍： Brazilian Journal of Cardiovascular Surgery (BJCVS) is the official journal of the Brazilian Society of Cardiovascular Surgery (SBCCV). BJCVS is a bimonthly, peer-reviewed scientific journal, with regular circulation since 1986. BJCVS aims to record the scientific and innovation production in cardiovascular surgery and promote study, improvement and professional updating in the specialty. It has significant impact on cardiovascular surgery practice and related areas.