Ozkutlu S, Saraçlar M
Department of Cardiology, Hacettepe University, Ankara, Turkey.
Jpn Heart J. 1989 May;30(3):425-30. doi: 10.1536/ihj.30.425.
Definitive clinical diagnosis of congenital pulmonary arteriovenous fistula is extremely difficult. In order to evaluate the diagnostic value of echocardiography, 2 cases with suspected pulmonary arteriovenous fistula were studied. In the first case, there was a solitary pulmonary arteriovenous fistula, while in the second multiple minute pulmonary arteriovenous fistulas were illustrated. The solitary lesion was demonstrated by two-dimensional and peripheral vein contrast echocardiography. However, in the second case direct visualization of the lesion was not possible but peripheral vein contrast echocardiography showed abnormal filling of the left atrium with echo contrast material.
先天性肺动静脉瘘的明确临床诊断极其困难。为评估超声心动图的诊断价值，对2例疑似肺动静脉瘘的病例进行了研究。第一例为孤立性肺动静脉瘘，第二例显示为多发性微小肺动静脉瘘。二维超声心动图和外周静脉造影超声心动图显示了孤立性病变。然而，在第二例中，无法直接观察到病变，但外周静脉造影超声心动图显示左心房有造影剂异常充盈。
