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先天性冠脉瘘是一种罕见心脏病。我们曾遇4例,均经心导管和心血管造影检查,其中3例经手术证实。现报告如下: 例1 女,10岁。出生后2个月发现心脏杂音于1985年5月入院。体检:胸骨左缘2～3肋间可闻及双期杂音。心电图示左室肥大。X线胸片:心胸比值0.62,主动脉结小,肺血轻度增多,无肺门舞蹈。心导管检查:心房与下腔静脉血氧饱和度差4.6%。升主动脉造影:右冠脉右房瘘。手术发现:
Congenital coronary fistula is a rare heart disease. We had 4 cases, both underwent cardiac catheterization and cardiovascular angiography, of which 3 were confirmed by surgery. The report is as follows: Example 1 Female, 10 years old. Two months after birth, heart murmur was admitted to hospital in May 1985. Physical examination: sternal left margin 2 ~ 3 intercostal can hear and double noise. ECG left ventricular hypertrophy. X-ray: cardiothoracic ratio of 0.62, aortic small, slightly increased pulmonary blood flow, no hilar dances. Cardiac catheterization: atrial and vena cava blood oxygen saturation of 4.6%. Ascending aortography: Right coronary right atrial fistula. Surgical findings: