Blesa E S, Kreulen T H, Perlstein E, Escovitz E S, Tyson R R
Chest. 1976 Jul;70(1):88-90. doi: 10.1378/chest.70.1.88.
A patient with a renal arteriovenous fistula is described. She was though to have valvular aortic stenosis because of a history of rheumatic fever, symptoms of congestive heart failure and syncope, and the presence of a harsh systolic murmur with a thrill in the aortic area. Cardiac catheterization revealed a left-to-right shunt of 8.7 L/min. Ligation of the fistula resulted in complete relief of the symptoms and attenuation of the murmur.
本文描述了一名患有肾动静脉瘘的患者。由于有风湿热病史、充血性心力衰竭和晕厥症状，以及在主动脉区存在伴有震颤的粗糙收缩期杂音，她被认为患有瓣膜性主动脉狭窄。心导管检查显示左向右分流为8.7L/分钟。结扎瘘管后症状完全缓解，杂音减弱。
