Seguin J R, Bouillon P, Aubry P, Acar J, Cachera J P
Thorac Cardiovasc Surg. 1984 Dec;32(6):386-8. doi: 10.1055/s-2007-1023431.
A case of a traumatic aorto-right ventricular fistula associated with an aortic valve injury and subsequent successful treatment is reported. A possible delay in diagnosis necessitates follow-up of patients after penetrating thoracic wounds. Early surgical treatment is mandatory because of the risks of both heart failure and endocarditis and because of the low operative morbidity. An aortic approach appears to be preferable because it permits repair of both the fistula and the valvular injury. Reconstruction of valvular injuries is preferable since long-term competence without prosthetic replacement can be achieved.
本文报告了一例伴有主动脉瓣损伤的创伤性主动脉-右心室瘘病例及后续成功治疗情况。穿透性胸部创伤后患者可能存在诊断延迟，因此需要进行随访。鉴于存在心力衰竭和心内膜炎风险以及手术发病率较低，早期手术治疗是必要的。主动脉入路似乎更可取，因为它允许同时修复瘘管和瓣膜损伤。瓣膜损伤的重建更可取，因为无需人工瓣膜置换即可实现长期功能正常。
