A 56-year-old man underwent surgery for complex coronary artery fistulas with giant coronary aneurysms. This treatment resulted in complications and caused myocardial ischemia of the right ventricular outflow tract, resulting in repeated ventricular fibrillations. The irritability caused by this fetal arrhythmia was improved by the placement of an intra-aortic balloon pump. The case findings suggest that even careful resection of complex coronary fistulas could precipitate myocardial ischemia.

中文翻译：

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复杂冠状动脉瘘伴巨大动脉瘤根治术致心肌缺血1例报告

一名 56 岁的男性因复杂的冠状动脉瘘和巨大的冠状动脉瘤接受了手术。这种治疗导致并发症并引起右心室流出道心肌缺血，导致反复心室颤动。通过放置主动脉内球囊泵改善了由这种胎儿心律失常引起的烦躁不安。病例研究结果表明，即使小心切除复杂的冠状动脉瘘也可能导致心肌缺血。