Transcatheter closure of giant congenital coronary artery fistula with patent duct occluder

钟理; 宋治远; 冉擘力; 张志辉; 张倩

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Transcatheter closure of giant congenital coronary artery fistula with patent duct occluder

更新时间：2026-01-09

- Transcatheter closure of giant congenital coronary artery fistula with patent duct occluder
- Journal of Army Medical University Vol. 30, Issue 4, Pages: 348-350(2008)
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  CLC： R540.46;R541.1;R543.305
- Published：2008
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钟理,宋治远,冉擘力,张志辉,张倩.先天性巨大冠状动脉右室瘘的介入治疗[J].陆军军医大学学报(原第三军医大学学报),2008,30(04):348-350.

　ZHONG Li,SONG Zhi-yuan,RAN Bo-li,ZHANG Zhi-hui,ZHANG Qian.Transcatheter closure of giant congenital coronary artery fistula with patent duct occluder[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(04):348-350.
钟理,宋治远,冉擘力,张志辉,张倩.先天性巨大冠状动脉右室瘘的介入治疗[J].陆军军医大学学报(原第三军医大学学报),2008,30(04):348-350. DOI：

　ZHONG Li,SONG Zhi-yuan,RAN Bo-li,ZHANG Zhi-hui,ZHANG Qian.Transcatheter closure of giant congenital coronary artery fistula with patent duct occluder[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(04):348-350. DOI：

摘要

目的探讨经导管法封堵先天性巨大冠状动脉瘘的技术方法及其有效性与安全性。方法对1例先天性粗大、迂曲右冠状动脉右室瘘患者进行经导管封堵治疗。选择性冠脉造影后，建立动-静脉轨道，再沿轨道钢丝经股静脉送入长鞘经瘘口至右冠状动脉，沿鞘管将动脉导管未闭封堵器置于右冠状动脉瘘口处，确定封堵器位置合适后将其完全释放。结果瘘口完全堵闭，术后无并发症，复查心脏超声示各心腔内径缩小。结论对迂曲、粗大的冠状动脉瘘

用国产器械经导管封堵治疗安全、有效。

Abstract

Objective To report our experience in using the patent duct occluder for occlusion of giant coronary artery fistulae (CAF). Methods Using echocardiogram and selective coronary arteriography

we diagnosed giant CAF from the right coronary artery to the right ventricle in a 43-year-old female. An arteriovenous wire loop was established via the aorta

coronary artery

and fistula to the right ventricle

right atrium and inferior vena cava. A long sheath was delivered antegradely to deploy the occluder in the CAF via the venous system. Results The CAF was occluded completely. No residual shunt or other complications were observed during the 4-month follow-up. Conclusion Transcatheter closure of giant coronary artery fistulas with patent duct occluder is feasible and safe in the anatomically suitable vessels.

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Related Institution

PLA Institute of Cardiovascular Surgery, Second Affiliated Hospital, Army Medical University (Thrid Military Medical University)

Department of Cardiothoracic Surgery, Key Laboratory of Child Development and Disorders of Ministry of Education, Children's Hospital of Chongqing Medical University

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