Chatzis A, Pepper J, Treasure T
Department of Cardiothoracic Surgery, St George's Hospital, London.
Br Heart J. 1992 Jun;67(6):500-1. doi: 10.1136/hrt.67.6.500.
A pericardiocutaneous fistula five years after repair of a rupture of the ventricular septum was managed by removing all foreign material (Teflon). The resulting defect was repaired with part of the central tendon of the diaphragm and a pedicle of omentum was used to cover the heart. This radical approach was found necessary after other measures, including surgical excision of the fistula, had failed.
一名室间隔破裂修复术后五年出现心包皮肤瘘的患者,通过清除所有异物(聚四氟乙烯)进行治疗。用部分膈中心腱修复由此产生的缺损,并使用带蒂大网膜覆盖心脏。在包括手术切除瘘管在内的其他措施均告失败后,发现这种根治性方法是必要的。