主动脉瓣置换术后左心室流出道-右心房瘘
Left ventricular outflow tract-right atrial fistula following aortic valve replacement.
作者信息
Elmistekawy Elsayed, Dickie Sean, Nicholson Donna, Mesana Thierry
机构信息
Cardiac Surgery, Ottawa Heart Institute, Ottawa, Canada.
出版信息
J Card Surg. 2012 Sep;27(5):570-2. doi: 10.1111/j.1540-8191.2012.01486.x. Epub 2012 Jul 5.
A 59-year-old male, undergoing outpatient treatment of a sternal wound infection following elective aortic valve replacement surgery, presented with decompensated heart failure. The patient required emergency redo surgery after investigations revealed a left ventricular outflow tract to right atrial fistula due to endocarditis with right ventricular dysfunction. Echocardiography, in particular transesophageal echocardiography, was essential for the diagnosis of this rare event.
一名59岁男性，在接受择期主动脉瓣置换手术后因胸骨伤口感染接受门诊治疗，出现失代偿性心力衰竭。经检查发现因心内膜炎导致左心室流出道至右心房瘘且右心室功能障碍后，该患者需要进行急诊再次手术。超声心动图，尤其是经食管超声心动图，对于诊断这一罕见事件至关重要。
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