主肺动脉瘘：主动脉瘤的一种罕见并发症。

Aortopulmonary fistula: a rare complication of an aortic aneurysm.

作者信息

Dixit Mahadev Damodar, Gan Mohan, Narendra Nishanimath Gurudev, Mohapatra Raghunath L, Halkatti Prabhu C, Bhaskar Bhagyalakshmi V

机构信息

Department of Cardiothoracic Surgery, KLES Heart Foundation, KLES Dr. Prabhakar Kore Hospital & MRC and JN Medical College, Nehru Nagar, Belgaum, Karnataka 590010, India.

出版信息

Tex Heart Inst J. 2009;36(5):483-5.

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2763467/

Abstract

In a patient with degenerative disease of the thoracic aorta, an aortopulmonary fistula with an aortic aneurysm after trauma is a rare occurrence. Few cases of successful surgical management have been reported. Aortopulmonary fistula should be suspected in a patient who has an aortic aneurysm and exhibits signs of congestive heart failure. Herein, we report the case of a 50-year-old man who underwent surgical repair of an ascending aortic aneurysm with fistula into the main pulmonary artery. Early diagnosis and prompt surgical intervention were crucial to the successful outcome.

摘要

在一名患有胸主动脉退行性疾病的患者中，创伤后出现伴有主动脉瘤的主肺动脉瘘是一种罕见的情况。鲜有成功手术治疗的病例报道。对于患有主动脉瘤且出现充血性心力衰竭体征的患者，应怀疑存在主肺动脉瘘。在此，我们报告一例50岁男性患者，其接受了升主动脉瘤合并主肺动脉瘘的手术修复。早期诊断和及时的手术干预对于取得成功的治疗结果至关重要。

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