Corciu Anca I, Fontanive Paolo, Di Cori Andrea, Bongiorni Maria G
aDepartment of Clinical and Experimental Medicine, University of Pisa bSecond Cardiovascular Department, University Hospital of Pisa, Ospedale Cisanello, Pisa, Italy.
J Cardiovasc Med (Hagerstown). 2016 Dec;17 Suppl 2:e196-e198. doi: 10.2459/JCM.0000000000000128.
: A 69-year-old woman, treated 5 years before with mechanical aortic valve and vascular prosthesis of ascending aorta implantation for severe aortic regurgitation and dilation of ascending aorta, was referred to our center for dyspnea and peripheral edema. The transthoracic echocardiography showed a giant pseudoaneurysm incorporating the vascular prosthesis and a fistula of it with the left atrium. These findings were confirmed using the transesophageal echocardiogram, cardiac computed tomography, and during cardiac surgery, which was performed 5 days later. The reparative intervention consisted of suturing of both the connections; the patient survived the surgery, but she died 6 weeks later due to infectious complications.
一名69岁女性，5年前因严重主动脉瓣反流和升主动脉扩张接受了机械主动脉瓣及升主动脉血管假体植入治疗，因呼吸困难和外周水肿转诊至我院。经胸超声心动图显示一个巨大假性动脉瘤包绕血管假体，并存在该假体与左心房之间的瘘管。经食管超声心动图、心脏计算机断层扫描以及5天后进行的心脏手术均证实了这些发现。修复性干预措施包括缝合两处连接部位；患者手术存活，但6周后因感染并发症死亡。
