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冠状动静脉瘘(Coronary Arteriovenous Fistula,CAVF)是一少见的冠状动脉畸形,现将我院经手术证实1例冠状动脉右室瘘报道如下。患者女,9岁,因活动后心慌,气短2年余入院。查体:T38.5℃,发育稍差,无口唇及指、趾端发绀,心率120次/分,律齐,胸骨左缘3、4肋间可闻及Ⅲ/Ⅳ级连续性双期杂音,无震颤,P_2>A_2,肝脾未及,双下肢不肿。心电图示窦性心动过速;X线胸片示右心室增大,肺血管增多;血常规示 WBC10.6×10~9/L,LY0.255,MO0.098,GR0.647,RBC3.96×10~(12)/L,Hb89.0g/L;血培养阴性;超声心动图示右冠状动脉右室瘘,卵圆孔未闭(房缺2mm),右室瘘口周围赘生物形成;冠状动脉造
Coronary Artery Fistula (Coronary Arteriovenous Fistula, CAVF) is a rare coronary artery deformity, now our hospital confirmed by surgery in 1 case report of right ventricular fistula of coronary artery. Female patient, 9 years old, due to palpitation after the event, shortness of breath more than 2 years admitted to hospital. Physical examination: T38.5 ℃, development is slightly worse, no lips and fingers, toe cyanosis, heart rate 120 beats / min, law Qi, sternal left intercostal 3,4 intercostal smell and Ⅲ / Ⅳ continuous double phase murmur , No tremor, P_2> A_2, liver and spleen not, neither lower extremity swelling. ECG showed sinus tachycardia; X-ray showed right ventricular enlargement, increased pulmonary blood vessels; blood showed WBC10.6 × 10 ~ 9 / L, LY0.255, MO0.098, GR0.647, RBC3.96 × 10 ~ (12) /L, Hb89.0g / L; blood culture negative; echocardiography right coronary fistula, patent foramen ovale (atrial septum 2mm), the formation of vegetation around the right ventricular fistula; coronal Arterial