Doig J C, Au J, Dark J H, Furniss S S
Regional Cardiothoracic Centre, Freeman Hospital, Newcastle upon Tyne, U.K.
Eur Heart J. 1992 Jul;13(7):1006-7. doi: 10.1093/oxfordjournals.eurheartj.a060279.
A 70-year-old patient presented with ventricular tachycardia and left ventricular failure. He was found to have a communication between a posterior left ventricular aneurysm and the right atrium. The causal myocardial infarction had been silent. This defect was satisfactorily closed at operation from which he made an uneventful recovery. This is the first report of a left ventricular-right atrial communication developing in association with ischaemic heart disease and highlights the role of transoesophageal echocardiography in the diagnosis and surgical management of such a condition.
一名70岁患者出现室性心动过速和左心室衰竭。发现其左心室后壁动脉瘤与右心房之间存在交通。引发该病的心肌梗死一直未被察觉。手术中该缺损被成功闭合，患者术后恢复顺利。这是首例与缺血性心脏病相关的左心室-右心房交通的报告，强调了经食管超声心动图在这种疾病诊断和外科治疗中的作用。
