Ihara T, Hara H, Kousaka I, Asoh K, Konishi H, Kasikie H, Isomura T, Aoyagi S, Kosuga K, Ohishi K
Kyobu Geka. 1989 Oct;42(11):919-23.
Fistula between aortic pseudo-aneurysm and atrium occurred in two patients ten or thirteen years after initial Bentall's operation. Their chief complaints were edema of lower extremity, oliguria and dyspnea. Because the pseudo-aneurysm and fistula was suspected by continuous murmur and echocardiogram, cardiac catheterization and aortography were performed to make accurate diagnosis. In these cases, both the fistula and the leakage at the site of initial anastomosis were repaired as soon as the diagnosis was made. To our knowledge, there have been no such reports of aortic pseudo-aneurysm penetrating into the atrium after Bentall's operation.
两例患者在初次Bentall手术10年或13年后发生主动脉假性动脉瘤与心房之间的瘘管。他们的主要症状为下肢水肿、少尿和呼吸困难。由于连续性杂音和超声心动图怀疑有假性动脉瘤和瘘管，遂进行心导管检查和主动脉造影以作出准确诊断。在这些病例中，一旦确诊，便立即修复瘘管和初次吻合部位的渗漏。据我们所知，尚无Bentall手术后主动脉假性动脉瘤穿入心房的此类报道。
