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首页> 外文期刊>Journal of cardiac surgery. >Surgical treatment of congenital coronary artery fistulas: 27 years' experience and a review of the literature.
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Surgical treatment of congenital coronary artery fistulas: 27 years' experience and a review of the literature.

机译:先天性冠状动脉瘘的外科治疗:27年的经验和文献复习。

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BACKGROUND AND AIM OF THE STUDY: A congenital coronary artery fistula (CAF) is a relatively rare congenital anomaly and is defined as an abnormal direct communication between any coronary artery and any of the cardiac chambers. This article reviews our experience over the past 27 years, as well as other literature, and discusses the surgical indications and methods relating to CAF. METHODS: From 1973, 25 patients aged from 2 to 69 years underwent surgical treatment for congenital CAF. Seventeen patients were diagnosed as isolated CAF. All patients under 19 years of age with isolated CAF were asymptomatic. Twenty fistulas originated from the left coronary artery and 9 from the right. The pulmonary artery was the most dominant drainage site. Four patients among the isolated CAF cases were surgically treated without a cardiopulmonary bypass. RESULTS: All patients were discharged from hospital without any perioperative complications. Postoperative coronary angiography was done on all patients with only oneslightly residual CAF flow. The average follow-up time was 9.6 years and all patients were asymptomatic and doing well. CONCLUSIONS: Definitive surgical correction is safe and effective, with good results. Therefore, it should be considered even in asymptomatic patients because of the risk of future complications.
机译:研究背景和目的:先天性冠状动脉瘘(CAF)是一种相对罕见的先天性异常,被定义为任何冠状动脉与任何心腔之间的异常直接通讯。本文回顾了我们过去27年的经验以及其他文献,并讨论了与CAF相关的手术适应症和方法。方法:从1973年开始,有25位2至69岁的患者接受了先天性CAF的手术治疗。 17名患者被诊断为孤立的CAF。所有19岁以下的孤立CAF患者均无症状。二十个瘘管起源于左冠状动脉,而九个起源于右冠状动脉。肺动脉是最主要的引流部位。在孤立的CAF病例中有4例患者接受了未经体外循环的手术治疗。结果:所有患者出院无围手术期并发症。对仅有少量残余CAF血流的所有患者进行术后冠状动脉造影。平均随访时间为9.6年,所有患者均无症状且情况良好。结论:明确的手术矫正是安全有效的,效果良好。因此,由于将来有并发症的风险,即使在无症状患者中也应考虑使用。

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