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Cardiac tamponade due to ruptured coronary-pulmonary artery fistula aneurysm: a case report

机译:由于冠状动脉肺动脉瘘破裂导致的心脏铺氮罩:案例报告

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Background Coronary artery fistulas are rare and most commonly asymptomatic; however, they can become enlarged and rupture in some cases. Case summary We report a case of a 51-year-old woman who was brought to our hospital unconscious in an ambulance. Cardiac tamponade caused by the rupture of an aneurismal coronary-pulmonary artery fistula (CPAF) was detected by contrast-enhanced computed tomography and confirmed by invasive coronary angiography. Due to prompt diagnosis and subsequent surgical intervention, the patient’s condition was rapidly improved, and she was discharged from the hospital. Discussion Coronary-pulmonary artery fistula aneurysm rupture requires rapid diagnosis and treatment, and thus, in cases with cardiac tamponade and coronary aneurysm, CPAF aneurysm rupture should be considered.
机译:背景技术冠状动脉瘘是罕见的,最常无症状的;然而,在某些情况下,它们可以变得扩大和破裂。案例摘要我们举报了一个51岁女性的案例,在救护车中被带到了医院的昏迷。通过对比度增强的计算机断层扫描来检测由运动冠状动脉肺动脉瘘(CPAF)破裂引起的心脏棉签,并通过侵入性冠状动脉造影证实。由于提示诊断和随后的外科干预,患者的病症迅速提高,她从医院出院。讨论冠状动脉 - 肺动脉瘘动脉瘤破裂需要快速诊断和治疗,因此,在心脏填塞和冠状动脉瘤的情况下,应考虑CPAF动脉瘤破裂。

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