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首页> 外文期刊>European Heart Journal - Case Reports >A case report of an iatrogenic coronary cameral fistula treated by retrograde percutaneous coronary intervention
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A case report of an iatrogenic coronary cameral fistula treated by retrograde percutaneous coronary intervention

机译：逆行经皮冠状动脉介入治疗的认可冠状动脉膜瘘的病症报告

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Background Acquired coronary cameral fistula is an extremely rare condition that involves an abnormal communication between a coronary artery and a cardiac chamber. It usually occurs after chest trauma or cardiovascular interventions, such as percutaneous coronary intervention (PCI) and is associated with various outcomes, ranging from a stable status to haemodynamic instability. Acquired coronary cameral fistula frequently arises from the right coronary artery and drains generally into the right ventricle. Case summary We report the unusual case of a 56-year-old male patient referred to an invasive cardiology centre for a suspected left anterior descending (LAD) coronary–left ventricular (LV) fistula resulting from a primary PCI for an anterior ST-elevation myocardial infarction. Here, the confirmed LAD–LV fistula was successfully treated by retrograde PCI with covered stent implantation. Clinical and angiographic outcomes were favourable at 1-month follow-up. Discussion Coronary cameral fistula can be a severe complication of primary PCI. Various treatment strategies can be considered based on haemodynamic status and anatomical features. In the case described herein, the use of a retrograde approach led to permanent fistula closure and complete revascularization.
机译：背景技术获得的冠状动脉膜瘘是一种极其罕见的条件，涉及冠状动脉和心脏室之间的异常通信。它通常发生在胸部创伤或心血管干预之后，例如经皮冠状动脉干预（PCI），并且与各种结果相关，从稳定地位到血液动力学不稳定。获得的冠状动脉癌症常常从右冠状动脉和沟渠通常出现，并且通常进入右心室。案例摘要我们报告了一名56岁男性患者的不寻常情况，提到了被疑似左前期下降（LAD）冠状动脉左心室（LV）瘘管的侵入性心脏病学中心，由主要PCI进行前升高心肌梗死。这里，通过覆盖支架植入逆行PCI成功处理了确认的LAD-LV瘘。在1个月的随访中，临床和血管造影结果是有利的。讨论冠状动脉剧瘘可以是原发性PCI的严重并发症。可以基于血流动力学状态和解剖特征来考虑各种治疗策略。在本文所述的情况下，使用逆行方法导致永久性瘘管闭合并完全血运重建。

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