Cakir Cayan, Duygu Hamza, Kilicaslan Baris, Ertas Faruk, Ozen Necmi, Nazli Cem, Ergene Oktay
Ataturk Training and Research Hospital, Izmir, Turkey.
J Am Soc Echocardiogr. 2007 Dec;20(12):1415.e5-7. doi: 10.1016/j.echo.2007.05.005. Epub 2007 Jul 12.
Traumatic aorto-right ventricular fistulas are rare lesions after penetrating thoracic injuries. Although aorto-right ventricular fistulas are well tolerated initially, most of them result in heart failure over a variable period. Penetrating cardiac trauma cases often need prompt cardiac surgery that does not allow further and detailed imaging methods for early diagnosis of lesions such as intracardiac defects and intracardiac fistulas. In this article, we report a case of aorto-right ventricular outflow tract fistula after a stab wound that was diagnosed on the second day after first successful surgery for acute tamponade.
创伤性主动脉-右心室瘘是穿透性胸部损伤后罕见的病变。虽然主动脉-右心室瘘最初耐受性良好,但大多数会在不同时期导致心力衰竭。穿透性心脏创伤病例通常需要迅速进行心脏手术,这使得无法采用进一步的详细成像方法来早期诊断诸如心内缺损和心内瘘等病变。在本文中,我们报告了一例刺伤后发生的主动脉-右心室流出道瘘病例,该病例在首次成功进行急性心包填塞手术的第二天被诊断出来。