In this article , we present a 54 - year - old male with an asymptomatic left main coronary artery to main pulmonary artery fistula in which the diagnosis was made by multidetector computed tomography ( mdct ) and coronary angiography 在这篇个案报告里的五十四岁男性患者罹患了无症状的左主冠状动脉瘘管，而这个冠状动脉瘘管经由冠状动脉摄影，还有多切面电脑断层摄影被诊断与肺动脉相连接。
In this article , we present a 54 - year - old male with an asymptomatic left main coronary artery to main pulmonary artery fistula in which the diagnosis was made by multidetector computed tomography ( mdct ) and coronary angiography 在这篇个案报告里的五十四岁男性患者罹患了无症状的左主冠状动脉瘘管，而这个冠状动脉瘘管经由冠状动脉摄影，还有多切面计算机断层摄影被诊断与肺动脉相连接。
It is concluded that most patients with fistula who underwent the procedure of ctu - back should be followed up to see if the - stage of operation is needed . in order to achieve a satisfactory function of defecation and continence , the main points of procedure are cutting off the total internal mucosa of fistula , suturing the defect in skin and repairing the sphincter when necessary 作者认为合并瘘管并经肛门后切术治疗的部分患儿，应在术后一定时间行期手术，切除瘘管粘膜，缝合皮肤，必要时修补括约肌，以获得术后更理想的肛门外观与排便控制功能。
