Young J B, Roehm J O, Lawrie G M, Morris G C, Noon G P, Howell J F, Espada R, Miller R R
Am J Cardiol. 1978 Nov;42(5):862-7. doi: 10.1016/0002-9149(78)90109-1.
The rupture of an aortic aneurysm is generally a fatal event, but occasionally the rupture will occur into an adjacent vascular structure, thereby preventing exsanguination and affording temporary survival. Three cases are presented illustrating the fortuitous nature of the rupture of an aortic aneurysm into a vascular structure. The first patient had an atherosclerotic abdominal aortic aneurysm that ruptured into the inferior vena cava and was successfully repaired. The second case demonstrates the formation of a fistula from the aorta to the left pulmonary artery in a patient with a syphilitic thoracic aortic aneurysm. In the third patient a dissecting aneurysm of the aortic root that communicated with the right ventricle after coronary bypass surgery was successfully repaired. Rarely, aortic aneurysms will rupture fortuitously into vascular capacitance structures. These three cases emphasize the need for early accurate diagnosis and the institution of appropriate surgical measures.
主动脉瘤破裂通常是致命事件，但偶尔会破入相邻血管结构，从而避免失血过多并获得暂时生存。本文介绍三例主动脉瘤破入血管结构的偶然情况。首例患者为动脉粥样硬化性腹主动脉瘤，破入下腔静脉后成功修复。第二例显示一名梅毒性胸主动脉瘤患者形成从主动脉至左肺动脉的瘘。第三例患者在冠状动脉搭桥术后，主动脉根部夹层动脉瘤与右心室相通，成功修复。主动脉瘤极少会偶然破入血管容量结构。这三例强调了早期准确诊断及采取适当手术措施的必要性。
