Howard Charles E, Velasco Carlos E, Roullard Christina P, Rafael Aldo
Baylor University Medical Center at Dallas, Baylor Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2017 Jul;30(3):301-302. doi: 10.1080/08998280.2017.11929622.
We describe a man with the Marfan syndrome and a prior ascending aortic aneurysm resection who presented with knee pain and concern of endocarditis. Transesophageal echocardiogram showed no vegetations, and computed tomography angiogram of the heart showed a possible pseudoaneurysm. Cardiac catheterization and aortogram revealed the diagnosis of an aorto-right atrial fistula, which was then operatively repaired. This case highlights the role that cardiac catheterization with aortogram can play in the detection of aorto-atrial fistula.
我们描述了一名患有马凡综合征且曾接受升主动脉瘤切除术的男性，他因膝关节疼痛并担心患有心内膜炎前来就诊。经食管超声心动图未显示赘生物，心脏计算机断层血管造影显示可能存在假性动脉瘤。心导管检查和主动脉造影确诊为主动脉 - 右心房瘘，随后进行了手术修复。该病例突出了心导管检查及主动脉造影在主动脉 - 心房瘘检测中的作用。
