Wei J, Chang C Y, Chang Y C
Department of Surgery, Tri-Service General Hospital, Taipei, Republic of China.
Ann Thorac Surg. 1991 Oct;52(4):852-4. doi: 10.1016/0003-4975(91)91224-j.
Two rare cases of nonpenetrating trauma-induced fistula from the right sinus of Valsalva to the right heart chambers are reported. Both were diagnosed preoperatively and operated on successfully. A transverse tear was found in the right sinus of Valsalva, just below the right coronary ostium, in both patients. The ragged inlet and a rough fistula tract were noted during operation. The tears were closed with direct sutures or with a Dacron patch. Coronary artery bypass grafting was needed in 1 patient. The results of operation were excellent.
报告了两例罕见的非穿透性创伤导致的从瓦尔萨尔瓦窦右侧至右心腔的瘘管病例。两例均在术前确诊并成功进行了手术。两名患者的瓦尔萨尔瓦窦右侧在右冠状动脉开口下方均发现横向撕裂。手术中发现参差不齐的入口和粗糙的瘘管。撕裂处用直接缝合或涤纶补片封闭。1例患者需要进行冠状动脉搭桥术。手术效果极佳。
