Crittenden M D, Maitland A, Canepa-Anson R, Salerno T A
Division of Cardiovascular and Thoracic Surgery, St. Michael's Hospital, Toronto, Ont.
Can J Surg. 1987 Sep;30(5):380-1.
Ascending aortic dissection complicated by aorta-right atrial fistula is a very rare occurrence. The patient may present with atypical clinical findings such as a continuous murmur or atrioventricular block, making the diagnosis difficult. Surgical repair is straightforward unless the correct diagnosis is missed, in which case there may be difficulties during the initial period of cardiopulmonary bypass. This report deals with the successful management of a 67-year-old man with this condition.
升主动脉夹层并发主动脉-右心房瘘极为罕见。患者可能出现非典型临床表现，如连续性杂音或房室传导阻滞，这使得诊断困难。除非漏诊，否则手术修复较为简单，若漏诊，则在体外循环初期可能会遇到困难。本报告介绍了一名患有这种疾病的67岁男性的成功治疗情况。
