Bentall手术后创伤性主肺动脉瘘

Post-traumatic Aortopulmonary Fistula after Bentall Procedure.

作者信息

Izzo Daniela, Savino Ketty, Castellani Claudia, Sperandini Laura, Ragni Temistocle, Ambrosio Giuseppe, Cavallini Claudio

机构信息

Department of Cardiology and Cardiovascular Physiopathology, University of Perugia, Perugia, Italy.

Department of Cardiology, Perugia Hospital, Perugia, Italy.

出版信息

J Cardiovasc Echogr. 2020 Jan-Mar;30(1):29-32. doi: 10.4103/jcecho.jcecho_5_20. Epub 2020 Apr 13.

DOI:10.4103/jcecho.jcecho_5_20

PMID:32766103

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7307618/

Abstract

Pseudoaneurysm complicated by aortopulmonary fistula (APF) after a Bentall procedure is extremely rare but potentially fatal, so timely diagnosis and treatment are critical. We present a subacute case of a post-traumatic APF which has had initial aspecific symptoms and later an acute worsening heart failure with chest pain not responding to medical treatment and requiring emergency surgery.

摘要

Bentall手术后并发主动脉肺动脉瘘（APF）的假性动脉瘤极为罕见，但可能致命，因此及时诊断和治疗至关重要。我们报告一例创伤后APF的亚急性病例，该病例最初有非特异性症状，后来急性心力衰竭恶化，伴有胸痛，药物治疗无效，需要紧急手术。