成年人先天性冠状动脉—肺动脉瘘(摘要)
作者：姚民 高润霖 陈纪林 姚康宝 杨跃进 秦学文 乔树宾
单位：北京市，中国医学科学院 中国协和医科大学 心血管病研究所 阜外心血管病医院 冠心病研究室(100037)
关键词：
中国循环杂志99zk87 目的：探讨成年人先天性冠状动脉—肺动脉瘘的特点。
方法：回顾性总结分析18例冠状动脉—肺动脉瘘患者的冠状动脉造影及临床资料。其中男性15例，女性3例，年龄44～68岁。
结果：①冠状动脉造影4 173例中检出冠状动脉—肺动脉瘘18例，检出率为0.43%，其中单一瘘道15例，双瘘道3例，其分流量均较小。②其中11例(61.1%)患者的单支或多支冠状动脉伴有50%以上狭窄病变。③临床随访本组病例无肺动脉高压和心力衰竭等重要并发症发生。
结论：分流量较大的冠状动脉—肺动脉瘘在成年人群中非常少见，而大多数分流量较小的冠状动脉—肺动脉瘘通常是在选择性冠状动脉造影时被偶然发现。
Congenital Coronary-Pulmonary Fistula in Adults (Abstract)
Division of Coronary Heart Disease, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing (100037)
Yao Min, Gao Runlin, Chen Jilin, et al.
Objective: To study the characteristics of congenital coronary-pulmonary fistula (CPF) seen in adulthood.
Methods: The clinical data and findings of coronary arteriography (CAG) were retrospectively reviewed in 18 patients with CPF (15 males and 3 female, aged 44 to 68 years).
Results: ① Among 4 173 pts undergone CAG, 18 cases were found to have CPF, with an incidence of 0.43%. Of them, 15 cases have signle shunt and 3 cases have two shunts between coronary artery and pulmonary artery, and all shunts were smaller. ② Of them, 11 cases (61.1%) were found to have over 50% stenosis lesions of one or more coronary arteries. ③ No major complications such as pulmonary hypertension and heart failure developed in this group.
Conclusion: CPF with large shunts are rare in adults, most CPF with small shunts usually are discovered as incidental findings during CAG., http://www.100md.com
单位：北京市，中国医学科学院 中国协和医科大学 心血管病研究所 阜外心血管病医院 冠心病研究室(100037)
关键词：
中国循环杂志99zk87 目的：探讨成年人先天性冠状动脉—肺动脉瘘的特点。
方法：回顾性总结分析18例冠状动脉—肺动脉瘘患者的冠状动脉造影及临床资料。其中男性15例，女性3例，年龄44～68岁。
结果：①冠状动脉造影4 173例中检出冠状动脉—肺动脉瘘18例，检出率为0.43%，其中单一瘘道15例，双瘘道3例，其分流量均较小。②其中11例(61.1%)患者的单支或多支冠状动脉伴有50%以上狭窄病变。③临床随访本组病例无肺动脉高压和心力衰竭等重要并发症发生。
结论：分流量较大的冠状动脉—肺动脉瘘在成年人群中非常少见，而大多数分流量较小的冠状动脉—肺动脉瘘通常是在选择性冠状动脉造影时被偶然发现。
Congenital Coronary-Pulmonary Fistula in Adults (Abstract)
Division of Coronary Heart Disease, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC, Beijing (100037)
Yao Min, Gao Runlin, Chen Jilin, et al.
Objective: To study the characteristics of congenital coronary-pulmonary fistula (CPF) seen in adulthood.
Methods: The clinical data and findings of coronary arteriography (CAG) were retrospectively reviewed in 18 patients with CPF (15 males and 3 female, aged 44 to 68 years).
Results: ① Among 4 173 pts undergone CAG, 18 cases were found to have CPF, with an incidence of 0.43%. Of them, 15 cases have signle shunt and 3 cases have two shunts between coronary artery and pulmonary artery, and all shunts were smaller. ② Of them, 11 cases (61.1%) were found to have over 50% stenosis lesions of one or more coronary arteries. ③ No major complications such as pulmonary hypertension and heart failure developed in this group.
Conclusion: CPF with large shunts are rare in adults, most CPF with small shunts usually are discovered as incidental findings during CAG., http://www.100md.com