Gallet B, Bayet G, Saudemont J P, Adams C, Jacquenet J F, Babo P, Couffinhal J C, Hiltgen M
Service de Cardiologie, Centre Hospitalier Victor-Dupouy, Argenteuil.
Ann Cardiol Angeiol (Paris). 1988 Jun;37(6):305-8.
Systemo-pulmonary fistulae are rare. The case of a 27 year-old man, hospitalized for exploration of a continuous thoracic murmur, is reported. A right pleurectomy had been performed 2 years previously because of a recurrent spontaneous pneumothorax, and no murmur was present at that time. Angiography showed a systemo-pulmonary fistula with the right internal mammary artery and branches of the right axillary artery as afferent vessels, and the right pulmonary arteries and veins as efferent vessels. Blood gases measurements demonstrated a left-right shunt. The acquired nature of the fistula was suspected because of the history of right pleurectomy and the acquired nature of the murmur. There was no indication for surgery because of the complexity of the fistula and the absence of symptoms.
体肺瘘很少见。本文报告了一名27岁男性因持续性胸壁杂音而住院检查的病例。该患者两年前因复发性自发性气胸接受了右胸膜切除术，当时并无杂音。血管造影显示存在体肺瘘，其传入血管为右乳内动脉和右腋动脉分支，传出血管为右肺动脉和静脉。血气测量显示存在左右分流。由于有右胸膜切除术病史以及杂音的后天性，怀疑该瘘为后天性。由于瘘的复杂性且无症状，故未行手术指征。
