Ackroyd J S, Burnand K G
J Cardiovasc Surg (Torino). 1983 Nov-Dec;24(6):667-8.
Cardiac arrest during the repair of a leaking aortic aneurysm is a well recognized complication of an unsuspected aorto-caval fistula. Previous reports have suggested that death results from embolisation of debris through the fistula. We report a patient who underwent successful resuscitation in whom the sudden alteration in haemodynamics produced by crossclamping the aorta appeared responsible for the development of ventricular fibrillation. Preliminary caval compression with gradual application of the aortic clamp may allow time for equilibration to occur and prevent cardiac arrest.
在修复漏血的主动脉瘤过程中发生心脏骤停是未被察觉的主动脉-腔静脉瘘的一种公认并发症。既往报告提示死亡是由瘘口处的碎片栓塞所致。我们报告了一例成功复苏的患者，其主动脉交叉钳夹导致的血流动力学突然改变似乎是心室颤动发生的原因。在逐渐应用主动脉钳夹之前先初步压迫腔静脉，可能会为达到平衡留出时间并预防心脏骤停。
