Metras D, Coulibaly A O, Ouattara K, N'Dori R
Thorac Cardiovasc Surg. 1984 Feb;32(1):64-6. doi: 10.1055/s-2007-1023348.
The authors report a rare case of coexistence of a pulmonary arteriovenous fistula with rheumatic mitral disease. The diagnosis was suspected clinically and with the chest X-ray, and was confirmed by the cardiac catheterization showing mitral disease and a pulmonary arteriovenous fistula with arterial desaturation (70%). Successful surgery (aneurysmal excision and closure of abnormal communication together with mitral valve repair) was undergone under cardiopulmonary bypass. In the literature, 7 cases of this association have been reported, with surgery in 4. None of the cases had a procedure similar to the above-mentioned and simultaneous surgery was not recommended. The authors show that the anatomic situation of the case reported allowed simultaneous surgery, and that cardiopulmonary bypass rendered the procedure easy.
作者报告了一例罕见的肺动静脉瘘与风湿性二尖瓣疾病并存的病例。临床及胸部X线检查怀疑有该诊断，心脏导管检查证实存在二尖瓣疾病及伴有动脉血氧饱和度降低（70%）的肺动静脉瘘。在体外循环下成功进行了手术（动脉瘤切除、异常通道闭合以及二尖瓣修复）。文献中已报道7例这种关联病例，其中4例进行了手术。所有病例均未进行过类似上述的手术，且不建议同时进行手术。作者表明，所报告病例的解剖情况允许同时进行手术，并且体外循环使该手术变得容易。
