Stampfel G
Rontgenblatter. 1983 Jan;36(1):26-9.
An aortopulmonary fistula in case of a bag-shaped aneurysm of the aortic arch is demonstrated via angiography. A diagnosis to the effect that the existence of this phenomenon is suspected, can already be arrived at when examining the plain radiography of the thorax. We can say that a sign of an aortopulmonary fistula is represented, in case of an aneurysm of the aorta ascendens and of the arcus aortae, by the existence of a left-right shunt with hypercirculation in the pulmonary circulation, in most cases also signs of right ventricular insufficiency. This is often combined with a typical previous history of sudden dyspnea and thoracic pain. The article points out the theoretical possibility of balloon catheter occlusion of the fistula to relieve the acute right ventricular load.
血管造影显示主动脉弓袋状动脉瘤病例中存在主肺动脉瘘。在检查胸部平片时，就已经可以得出怀疑存在这种现象的诊断。可以说，在升主动脉和主动脉弓动脉瘤的情况下，主肺动脉瘘的一个征象是肺循环中存在左右分流并伴有高循环，在大多数情况下还伴有右心室功能不全的体征。这通常与突然呼吸困难和胸痛的典型既往史相关。文章指出了用球囊导管封堵瘘以减轻急性右心室负荷的理论可能性。
