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題名 | Coronary Sinus Atresia with Cardiac Veins Draining into Both the Left Superior Vena Cava and Large Coronary Fistulae, Treated by Percutaneous Coil Embolization=冠狀靜脈竇閉鎖合併左側上腔靜脈和大的冠狀動脈瘻管經線圈栓塞術 |
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作者 | 陳清埤; 李國維; 廖瓊櫻; 黃重禮; | 書刊名 | Acta Cardiologica Sinica |
卷期 | 23:2 2007.06[民96.06] |
頁次 | 頁119-124 |
分類號 | 416.264 |
關鍵詞 | 冠狀靜脈竇閉鎖; 冠狀動脈瘻管栓塞; 16-排快速電腦斷層; Coronary atresia; Multi-detector computed tomography transcatheter coil embolization; |
語文 | 英文(English) |
中文摘要 | 冠狀靜脈竇閉鎖常合併其他先天性心臟病存在,如左側上腔靜脈、冠狀動脈瘻管或冠狀靜脈竇壁缺損 (unroofed coronary sinus)。大的冠狀動脈瘻管易導致心肌缺氣,因此應積極治療,過去是以閉心手術來結紮,但外科手術花費較多、傷口較大、且住院時問長。我們報告一例43歲男性,冠狀靜脈竇閉鎖合併左側上腔靜脈和大的冠狀動脈瘻管,因運動性胸悶入院,我們藉由心導管技術,利用線圈成功將冠狀動脈癢管栓塞。特別要注意的是:手術前必需利用16-排快速電腦斷層或冠狀靜脈竇攝影,將冠狀靜脈解剖看清楚。 |
英文摘要 | Coronary sinus atresia is usually associated with other abnormalities. We report a case of coronary atresia with persistent left superior vena cava and large coronary fistulae. His coronary returns were drained simultaneously into the left superior vena cava and right pulmonary artery via an abnormally large coronary fistula. We used multi-detector computed tomography (MDCT) to delineate coronary venous anatomy before coil embolization and successfully occluded the large fistula with detachable coils. After transcatheter coil embolization |
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