<症例>心奇形を合併した冠動脈瘻の2例

概要

論文の詳細を見る
In a 1-year and 4-month-old boy, two fistulae between right coronary artery and right ventricle were revealed by preoperative angiogram. The operation was performed by using cardiopulmonary bypass to close the fistulae by Symbas' procedure. Cardiac catheterization 1 year after the surgery demonstrated complete closure of fistulae and shrinkage of the aneurysm. A 9 year-old boy was diagnosed of tetralogy of Fallot. Blalock-Taussig anastomosis had been performed at 3 years of age. He was admitted to undergo corrective surgery. Preoperative catheterization revealed multiple fistulae between a branch of left anterior descending artery and right ventricle and the abscence of left pulmonary artery. At operation, the supplying branch was doubly ligated without any myocardial ischemic change. Total correction for tetralogy of Fallot was also performed with Bjork-Shiley prosthesis for agenesis of pulmonary valve. Unfortunately, the patient died of hypoxia probably caused by the obstructive disease of right pulmonary artery. All case reports of the coronary artery fistula were collected to establish the adequate surgical intervention.
近畿大学の論文
1981-06-25