Coronary Artery Fistula Associated with Acute Myocardial Infarction: A Case Report

冠狀動脈瘻管合併急性心肌梗塞：一病例報告

陳政康(Cheng-Kang Chen) ； 梁恆(Hang Leung)

《中華民國急救加護醫學會雜誌》 24卷2期 (2013/06) Pp. 55-60

摘要

冠狀動脈瘻管導致急性心肌梗塞是很罕見的。我們報告一個58歲男性以急性胸痛表現，心電圖顯示在導程I，aVL有輕微ST節上升、導程II，III，aVF，V2-V5有ST節下降。心肌受損指數上升。心導管攝影顯示一源自左前降枝的冠狀動脈瘻管注入左心室。64切電腦斷層掃瞄確定此一診斷，並排除其他異常。病人接受經導管線圈栓塞術後，恢復良好。

關鍵字

冠狀動脈瘻管 ； 心肌梗塞 ； 經導管線圈栓塞術

並列摘要

Coronary artery fistula is a rare cause of acute myocardial infarction. We report a 58-year-old man who presented with acute chest pain. The electrocardiography showed slight ST-segment elevation in leads I, aVL, with ST-segment depression in leads II, III, aVF and V2-5. The biochemical markers of myocardial injury were elevated. Selective coronary angiography showed a coronary artery fistula originating from the distal left anterior descending artery to the left ventricle. Multidetector computed tomography confirmed this diagnosis and excluded the presence of other anomalies. He underwent successful transcatheter coil embolization and remained symptom free for 6 months.

並列關鍵字

coronary artery fistula ； myocardial infarction ； transcatheter coil embolization