Schulte H D, Falke K, Kreutzberg B, Spiller P
Thoraxchir Vask Chir. 1978 Dec;26(6):418-21. doi: 10.1055/s-0028-1096665.
In a 42 year old woman a left coronary artery to pulmonary artery fistula was proved by catheterization and coronary angiography. During this investigations a right femoral hernia became symptomatic, and surgical correction was carried out. Three days postoperatively a massive pulmonary embolism occurred causing shock and fibrillation of the heart. After intubation the patient was brought to the operating theatre under external massage, and a pulmonary embolectomy using ECC was performed. The fistula in the main pulmonary artery was closed by suture. The vascular convolute was left in place. A primarily additional ligature of the fistula artery at the starting point was reopened because of a failing right ventricle under the assumption of a possible partial vascular supply of the right ventricular myocardium which could not be proved.
在一名42岁女性患者中，通过心导管检查和冠状动脉造影证实存在左冠状动脉至肺动脉瘘。在这些检查过程中，右侧股疝出现症状，并进行了手术矫正。术后三天发生大规模肺栓塞，导致休克和心脏颤动。插管后，患者在体外按摩下被送往手术室，并使用体外循环进行了肺栓子切除术。主肺动脉内的瘘口通过缝合关闭。血管盘旋结构保留原位。由于右心室功能衰竭，在假设右心室心肌可能存在部分血管供应（但未得到证实）的情况下，重新打开了在起始点对瘘管动脉进行的一期附加结扎。
