Di Mattéo J, Galey J J, Bouramoue C, Lafont H, Heulin A, Dumas P
Arch Mal Coeur Vaiss. 1976 Jan;69(1):91-5.
A young girl of 15 with an aorto-pulmonary fistula was treated surgically, with a successful outcome. The clinical diagnosis could only be established at right-sided catheterisation, and especially at retrograde per-arterial aortography. The small size of the fistula explains the low level of the pulmonary arterial hypertension, and the way in which the condition was well-tolerated for some time. The association of this lesion with ventricular septal defect and pulmonary stenosis is extremely rare.
一名患有主肺动脉瘘的15岁年轻女孩接受了手术治疗,结果成功。临床诊断只能在右侧心导管检查时,特别是在逆行主动脉造影时才能确立。瘘管较小解释了肺动脉高压程度较低以及该病症在一段时间内耐受性良好的原因。这种病变与室间隔缺损和肺动脉狭窄同时存在极为罕见。