Bentall修复术后主动脉-右心房瘘
Aorto-right atrial fistula after Bentall repair.
作者信息
Howard Charles E, Velasco Carlos E, Roullard Christina P, Rafael Aldo
机构信息
Baylor University Medical Center at Dallas, Baylor Heart and Vascular Hospital, and Texas A&M College of Medicine, Dallas, Texas.
出版信息
Proc (Bayl Univ Med Cent). 2017 Jul;30(3):301-302. doi: 10.1080/08998280.2017.11929622.
Abstract
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.
摘要
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。
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