Sarkis A, Lehnert F, Diebold B, Monin J L, Cosma C, Castaldo F, Pauly-Laubry C
Service de cardiologie, hôpital Saint-Joseph, Paris.
Arch Mal Coeur Vaiss. 1992 Apr;85(4):457-60.
The authors report the case of a 17 year old patient operated for valvular aortic stenosis associated with severe hypertrophy of the interventricular septum. The operation consisted of aortic valve replacement and septal myectomy. Color-flow imaging in the postoperative period showed a coronary artery--left ventricular fistula in the region of the septal myectomy. In view of the small size of the fistula on echocardiographic examination and the absence of a codified strategy of management of acquired coronary left ventricular fistula after surgery, a simple Doppler echocardiographic follow-up was proposed in this case.
作者报告了一例17岁患者，该患者因瓣膜性主动脉狭窄合并严重室间隔肥厚接受手术治疗。手术包括主动脉瓣置换和室间隔心肌切除术。术后彩色血流成像显示在室间隔心肌切除区域存在冠状动脉-左心室瘘。鉴于超声心动图检查发现瘘口较小，且术后获得性冠状动脉左心室瘘尚无规范化的处理策略，本病例建议进行简单的多普勒超声心动图随访。
