Anderson G P, Adicoff A, Motsay G J, Sako Y, Gobel F L
Am J Cardiol. 1975 Mar;35(3):439-43. doi: 10.1016/0002-9149(75)90038-7.
A healthy 25 year old man presented with a machinery murmur and a history of a penetrating thoracic injury. Hemodynamic and angiographic evaluation demonstrated a fistula from the right coronary artery to the right atrium that was later successfully repaired. This case and similar reported cases indicate that fistula formation is a late complication of penetrating thoracic injuries. The onset of the murmur occurs with enlargement of the fistula and typically is delayed for several weeks to months after the initial injury.
一名25岁的健康男性因机器样杂音和胸部穿透伤病史前来就诊。血流动力学和血管造影评估显示存在从右冠状动脉到右心房的瘘管，该瘘管后来成功修复。该病例及类似的报道病例表明，瘘管形成是胸部穿透伤的晚期并发症。杂音在瘘管扩大时出现，通常在初始损伤后数周至数月才会延迟出现。
