Garcia-Ramirez J R, Holcombe D J, Garcia-Gregory J A
Freedman Clinic of Internal Medicine, Alexandria, TX.
J La State Med Soc. 1990 Jan;142(1):31-3.
Posttraumatic formation of either aortico-ventricular or coronary arterio-ventricular fistulas are rare, albeit well-documented events. A case is presented involving crush injury to the chest complicated by an acute inferior wall myocardial infarction and later associated with an aortico-right ventricular fistula. Progressive right ventricular dilatation dictated subsequent surgical repair in this case, although similar fistulas without dilatation may safely be observed.
创伤后主动脉-心室或冠状动脉-心室瘘的形成虽然有充分记录，但却很罕见。本文报告一例胸部挤压伤患者，该患者并发急性下壁心肌梗死，随后出现主动脉-右心室瘘。在该病例中，右心室进行性扩张决定了后续的手术修复，不过对于无扩张的类似瘘管，可安全地进行观察。
