| 先天性冠状动脉左右心室瘘的外科治疗 |
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| 引用本文： | 李兆志,黄庆恒,屈根学,秦志端,侯立业. 先天性冠状动脉左右心室瘘的外科治疗[J]. 西安交通大学学报(医学版), 1995, 0(2) |
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| 作者姓名： | 李兆志 黄庆恒 屈根学 秦志端 侯立业 |
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| 作者单位： | 第一临床医学院心胸外科 西安710061 |
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| 摘 要： | 本文报告4例少见的先天性冠状动脉左或右室瘘。1例为左冠状动脉前降枝右室瘘,行双结扎贯穿缝合;1例为右冠状动脉后降枝瘘入左室;2例为右冠状动脉后降枝瘘入右室;后3例在体外循环（CPB）下,切开瘤样扩张之冠状动脉（其中1例并切开右室）关闭瘘口。4例随诊平均7.8年均获满意疗效。文中重点讨论了诊断、手术适应证及手术方法的选择。
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| 关 键 词： | 冠状动脉心腔瘘 体外循环 手术适应证 手术方法 |
SURGICAL TREATMENT OF CONGENITAL CORONARY ARTERIOVENTRICULAR FISTULA |
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| Li Zhaozi,Huang Qingheng,Qu Genxue,et al. SURGICAL TREATMENT OF CONGENITAL CORONARY ARTERIOVENTRICULAR FISTULA[J]. Journal of Xi‘an Jiaotong University:Medical Sciences, 1995, 0(2) |
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| Authors: | Li Zhaozi Huang Qingheng Qu Genxue et al |
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| Abstract: | 4 cases of a rare congenital coronary arterioventricular fistula are reported, of which one case of descending anterior branch of left coronary arterio-right ventricular fistula was closed by transfixion, one case of descending posterior branch of right coronary arterio-left ventricular fistula and two cases of descending posterior branch of right coro-nary arterio-right ventricular fistula were closed by incision of coronary artery aneurysm through car-diopulmonary bypass (one case's right ventricle was incised). Four cases were followed up averagely 7.8 years and the curative effect was satisfactory. The pre-operative diagnosis, operative indication and surgical program are also disscussed. |
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| Keywords: | coronary arterio-ventricular fistula cardiopulmonary bypass operative indication surgical program |
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