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ID 51866
JaLCDOI
フルテキストURL
Thumnail 67_5_305.pdf 1.81 MB
著者
Tachibana, Motomi Department of Cardiology, Himeji Red Cross Hospital
Mukouhara, Naoki Department of Cardiology, Himeji Red Cross Hospital
Hirami, Ryouichi Department of Cardiology, Himeji Red Cross Hospital
Fujio, Hideki Department of Cardiology, Himeji Red Cross Hospital
Yumoto, Akihisa Department of Cardiology, Himeji Red Cross Hospital
Watanuki, Yutaka Department of Clinical Laboratory, Himeji Red Cross Hospital
Hayashi, Aiko Department of Clinical Laboratory, Himeji Red Cross Hospital
Suminoe, Isao Department of Clinical Laboratory, Himeji Red Cross Hospital
Koudani, Hiroshi Department of Clinical Laboratory, Himeji Red Cross Hospital
抄録
Congenital coronary pulmonary artery fistula (CAF) is rare, and systemic-to-pulmonary artery fistula (SPAF) is even more so. Furthermore, congenital coronary pulmonary fistula associated with congenital SPAF is extremely rare. As far as we know, CAF and SPAF connected with an aneurysm have not been described very often. We described an 83-year-old woman with an aneurysm originating from a CAF connected to an aortopulmonary artery fistula. Chest radiography revealed a shadow at the left edge of the heart line. Multi-detector-row computed tomography (MDCT) with contrast enhancement and coronary cine angiography revealed that the shadow was an aneurysm connected to a tortuous fistula at the left anterior descending coronary artery. The aneurysm was formed by congenital coronary pulmonary and aortopulmonary artery fistulae. Echocardiography revealed predominantly systolic blood flow in the fistula from the left anterior descending coronary artery (LAD). Although neither MDCT, echocardiography nor coronary angiography alone could provide a comprehensive image of the anomaly, including the hemodynamics in the fistulae and their relationship with surrounding organs and tissues, their combination could provided important facts the led to a deeper understanding of this very uncommon occurrence.
キーワード
coronary pulmonary artery fistula
aortopulmonary artery fistula
aneurysm
Amo Type
Case Report
発行日
2013-10
出版物タイトル
Acta Medica Okayama
67巻
5号
出版者
Okayama University Medical School
開始ページ
305
終了ページ
309
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2013 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT