摘要
目的探讨冠状动脉瘘的发生率及其临床表现。方法回顾性分析近3年来在我院冠状动脉造影检查的患者,观察并记录冠状动脉瘘的发生率及其各项临床表现。结果1026例患者中,共检出冠状动脉瘘患者6例(左主干-主肺动脉瘘2例,左主干-左房瘘1例,左前降支-左房瘘2例,间隔支-左房瘘1例),检出率为0.58%,均无合并其他先天性心脏病。患者年龄为36～70(60.3±12.8)岁;男性5例,女性1例。冠状动脉瘘患者均存在心脏杂音,其中4例有心电图改变,2例心脏彩超能检测到血流异常信号,3例合并冠心病。结论冠状动脉瘘是一种少见的先天性心血管畸形,男性和女性发生率差异无统计学意义。冠状动脉造影是诊断冠状动脉畸形的金标准。
Objective To study the incidence of congenital coronary artery fistula（CAF） and clinical features of patients with CAF. Methods All of the patients who have undergone diagnostic coronary angiography since recent 3 years were retrospectively analyzed in aspects of their incidence and features. Results Among the 1026 patients,6（0.58%） cases were found to have the CAF, including left main coronary artery（LM）-aortopulmonary fistular 2 cases, LM-atria sinistrum fistular 1 case, LAD-atria sinistrum fistular 2 cases and septal branch-atria sinistrum fistular 2 cases. Patients with CAF are no other congenital cardiopathy. There are 5 males and 1 female, age 36-70 years, average 60.3±12.8 years in this patients. Patients with CAF have cardiac murmur all. And there were changes of 4 cases＇ electrocardiogram, 2 patients can be detected by color Doppler echocardiography, and 3 cases with coronary heart disease. Conclusion CAF is rare in congenital cardiovascular diseases. There are no significant differences in the incidence of CAF in male and female. Selective coronary angiography is an important means for its finial diagnosis.
出处
《中国心血管病研究》
CAS
2007年第10期749-751,共3页
Chinese Journal of Cardiovascular Research
关键词
血管瘘
冠状血管造影术
心血管畸形/诊断
Vascular fistula
Coronary arteriography
Cardiovascular abnormalities/Diagnosis
