Danias P G, Lehman T, Kartis T, Missri J C
Division of Cardiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
Heart. 1999 Mar;81(3):325-6. doi: 10.1136/hrt.81.3.325.
Infection of the Teflon pledgets on the heart suture line after left ventricular aneurysm repair, presenting late with a fistulous tract connecting the heart with the skin (cardiocutaneous fistula) is an uncommon but potentially serious condition. The case is reported of a 73 year old man who developed a cardiocutaneous fistula extending through the left hemidiaphragm and draining at the abdominal wall, which developed six years after left ventricular aneurysmectomy. Following radiographic evaluation, which established the diagnosis, the Teflon pledgets and fistulous tract were successfully surgically removed. Prompt diagnosis depends on a high index of suspicion. Eradication of infection requires excision of infected material, which must be planned on an individual basis.
左心室动脉瘤修复术后心脏缝合线上的特氟龙棉片感染，晚期出现连接心脏与皮肤的瘘管（心皮瘘）是一种罕见但可能严重的情况。本文报道了一名73岁男性，在左心室动脉瘤切除术后六年出现的心皮瘘，该瘘管穿过左半膈肌并在腹壁引流。经过影像学评估确诊后，成功手术切除了特氟龙棉片和瘘管。及时诊断取决于高度的怀疑指数。根除感染需要切除感染物质，这必须根据个体情况进行规划。
