Left Circumflex Coronary-to-Pulmonary Artery Fistula as the Exclusive Collateral to the Occluded Left Anterior Descending Artery

被引:2
作者
Yi, H-T. [1 ,2 ,3 ,4 ]
Lai, H. -C. [1 ,2 ,3 ,4 ]
Hsu, H. [1 ,2 ]
Lee, W. -L. [1 ,2 ,3 ,4 ]
Wang, K. -Y. [1 ,2 ,5 ]
Chiang, M. -S. [1 ,2 ,3 ,4 ]
Liu, T. -J. [1 ,2 ,3 ,4 ]
机构
[1] Taichung Vet Gen Hosp, Ctr Cardiovasc, Taichung 407, Taiwan
[2] Taichung Vet Gen Hosp, Dept Anesthesiol, Taichung 407, Taiwan
[3] Natl Yang Ming Univ, Sch Med, Dept Med, Inst Clin Med,Cardiovasc Res Ctr, Taipei 112, Taiwan
[4] Natl Yang Ming Univ, Sch Med, Dept Surg, Taipei 112, Taiwan
[5] Chung Shan Med Univ, Dept Med, Taichung, Taiwan
关键词
Coronary; Occlusion; Fistula; Collateral;
D O I
10.1016/j.hlc.2013.05.642
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 64 year-old male presented with a five month history of effort angina. Non-invasive studies demonstrated preserved left ventricular function and a modest stress-induced myocardial perfusion defect at the anterior wall. Coronary angiography revealed occlusion of the proximal left anterior descending coronary artery with its distal segment well supplied by collaterals branching from a left circumflex-to-main pulmonary artery fistula. The occluded left anterior descending coronary artery was recanalised by percutaneous interventions, the collaterals vanished immediately, and the patient lived free of symptoms for the following five months.
引用
收藏
页码:E1 / E3
页数:3
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