Santiago Bravo M, Lama Toro A, Bialostosky D, Lupi-Herrera E
Arch Inst Cardiol Mex. 1979 May-Jun;49(3):478-83.
A case of pulmonary arteriovenous fistula associated with rheumatic mitral heart disease is presented. We have reviewed the literature and no published case with such association has been described. The loud mitral insufficiency murmur hide the continuous murmur of the fistula. The angiographic study demonstrated the A-V fistula. Retrospectively the diagnosis should have been suspected due to cyanosis, slight clubbing, the radiologic findings and the important Qs/Qt shunt. The associated pulmonary embolic phenomena made more difficult the diagnosis.
本文报告一例与风湿性二尖瓣心脏病相关的肺动静脉瘘病例。我们查阅了文献，未发现有此类关联的病例报道。响亮的二尖瓣关闭不全杂音掩盖了瘘管的连续性杂音。血管造影研究证实了动静脉瘘。回顾性分析，由于存在发绀、轻度杵状指、影像学表现以及显著的Qs/Qt分流，本应怀疑有此诊断。相关的肺栓塞现象使诊断更加困难。
