Babacan K M, Tasdemir O, Zengin M, Karagöz H Y, Zorlutuna Y I, Ozer C, Sagban M, Yakut C, Bayazit K
Jpn Heart J. 1986 Nov;27(6):865-70. doi: 10.1536/ihj.27.865.
Over the past 15 years 23 patients, aged 14-50, with aortic sinus-cardiac chamber fistulous communication have been operated upon. All were symptomatic and had angiographic evaluation before surgery. The last 5 were diagnosed by two-dimensional echocardiography. The origin of the fistula was the right aortic sinus in 22 and the non-coronary sinus in 1. The involved cardiac chamber was the right ventricle in 18, right atrium in 3 and left ventricle in 2. Associated lesions were ventricular septal defect (VSD) in 9, ventricular septal defect + atrial septal defect (VSD + ASD) in 1, ventricular septal defect + pulmonary stenosis (VSD + PS) in 1, atrial septal defect (ASD) in 3 and congenital aortic stenosis (AS) in 1. At surgery both the aorta and involved cardiac chamber were opened. No recurrence was encountered when the fistula was repaired using teflon felts on both ends. Three patients, 2 of whom had been operated upon before the use of cardioplegic arrest, died (13%).
在过去15年里，对23例年龄在14至50岁之间、患有主动脉窦 - 心腔瘘管交通的患者进行了手术。所有患者均有症状，且在手术前接受了血管造影评估。最后5例通过二维超声心动图确诊。瘘管起源于右主动脉窦的有22例，起源于无冠窦的有1例。受累心腔为右心室的有18例，右心房的有3例，左心室的有2例。相关病变包括室间隔缺损（VSD）9例、室间隔缺损 + 房间隔缺损（VSD + ASD）1例、室间隔缺损 + 肺动脉狭窄（VSD + PS）1例、房间隔缺损（ASD）3例以及先天性主动脉狭窄（AS）1例。手术时同时打开主动脉和受累心腔。使用两端带聚四氟乙烯毡片修复瘘管时未出现复发情况。3例患者死亡（13%），其中2例在使用心脏停搏液之前接受过手术。
