Christides C, Laskar M, Virot P, Dany F, Brutus P, Blanc P, Doumeix J J
Ann Cardiol Angeiol (Paris). 1985 May;34(5):357-9.
Two fairly similar cases of internal mammary arterio-venous fistula were observed in two patients involved in serious road accidents, following which a catheter was inserted into the subclavian vein for the purposes of resuscitation. The clinical diagnosis was made in both cases on routine examination, which revealed a continuous right subclavian bruit with extensive radiation three years after the accident. There were no functional implications. Further investigations revealed a fistula located between the internal mammary artery and the right brachiocephalic venous trunk and demonstrated the haemodynamic consequences: normal intra-cardiac pressures, but a pulmonary blood flow which was twice that of the systemic blood flow. Both cases were treated by means of surgical cure via thoracotomy, which confirmed the nature of the arterio-venous fistula and which defined the relations with the phrenic nerve, which is the most exposed element. The results of this operation were excellent in both cases.
在两名严重道路交通事故患者中观察到两例相当相似的乳内动静脉瘘病例，事故发生后为了复苏将导管插入锁骨下静脉。两例均通过常规检查做出临床诊断，结果显示事故三年后右侧锁骨下有连续性杂音并广泛传导。无功能影响。进一步检查发现瘘位于乳内动脉与右头臂静脉干之间，并显示了血流动力学后果：心内压力正常，但肺血流量是体循环血流量的两倍。两例均通过开胸手术治愈，证实了动静脉瘘的性质，并明确了与最易受影响的膈神经的关系。两例手术结果均极佳。
