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先天性冠状动脉瘘是一种较少见但可引起极严重并发症的疾病.~(201)Tl灌注显像可精确地评估冠状动脉瘘的冠脉窃流部位及范围.一例52岁的男性患者,间歇性轻度胸痛6个月,无心律失常及心脏杂音等体征.踏车运动试验后进行~(201)Tl显像,发现前室间隔缺血与可逆性灌注缺损有关;心导管检查显示血液自肺动脉经一直径为1.5mm的瘘口流向左前降支冠状动脉,右侧冠脉轻度异常,但冠状动脉主干尚正常.为此,施行了冠状动脉瘘外科修补术,术后临床症状消失,6
A congenital coronary artery fistula is a rare but very serious complication of disease. ~ (201) Tl perfusion imaging can accurately assess the location and extent of coronary artery thrombosis of coronary artery thrombosis. A 52-year-old male Patients, intermittent mild chest pain for 6 months, no arrhythmia and heart murmur and other signs of treadmill exercise test after ~ (201) Tl imaging and found that anterior chamber septal ischemia and reversible perfusion defect related; cardiac catheterization Showed that the blood flow from the pulmonary artery through a fistula with a diameter of 1.5mm to the left anterior descending coronary artery, mild right coronary artery, but the main coronary artery is still normal.To this end, the implementation of surgical repair of coronary artery fistula, postoperative clinical Symptoms disappear, 6