Alva C, Jiménez Arteaga S, Gómez F D, Sánchez Soberanes A, Ortegón J, Campos M, Ledesma M, Argüero R
Servicio de Cardiopatías Congénitas, Hospital de Cardiología CMN, Siglo XXI, IMSS, México, D.F.
Arch Inst Cardiol Mex. 2000 Jul-Aug;70(4):399-402.
A case of direct communication between right pulmonary artery and left atrium is reported. The diagnosis was made before surgical correction. A surgical ligation of the fistula resolved the cyanosis of the patient. Selective angiocardiogram of the right pulmonary artery 4 months after surgery revealed no residual shunt. This very rare malformation should be considered in the clinical setting of unexplained cyanosis. This is the number 50 case reported in the literature.
报告了一例右肺动脉与左心房直接相通的病例。在手术矫正前作出了诊断。对瘘管进行手术结扎后,患者的发绀症状得以缓解。术后4个月对右肺动脉进行的选择性心血管造影显示无残余分流。在不明原因发绀的临床情况下应考虑这种非常罕见的畸形。这是文献报道的第50例病例。