Skorton D J, Voet R L, Roberts N K
Chest. 1980 Jun;77(6):796-80. doi: 10.1378/chest.77.6.796.
A case of infective endocarditis is reported in which a fistulous communication developed from the septal tricuspid valve leaflet, throught the membranous ventricular septum, into the non-coronary aortic cusp. From a nidus of infection in the uterus, the tricuspid valve was seeded, leading eventually to the fistula. The particular course of the perforation avoided conduction system damage until late in the clinical course, when idioventricular rhythm and eventual cardiac arrest supervened.
报告了一例感染性心内膜炎病例，其中一个瘘管从三尖瓣隔叶经膜性室间隔通向无冠主动脉瓣叶。感染源于子宫内的病灶，三尖瓣受到感染，最终导致了瘘管形成。穿孔的特定路径在临床病程后期才导致传导系统受损，此时出现了心室自主节律并最终发生心脏骤停。
