Norwicki E R, Aberdeen E, Friedman S, Rashkind W J
Ann Thorac Surg. 1977 Apr;23(4):378-88. doi: 10.1016/s0003-4975(10)64149-5.
A fistula from the left aortic sinus to the left ventricle is reported that was successfully repaired using cardiopulmonary bypass. In addition, 175 cases of fistula to the heart from the aortic sinuses published in the English literature from 1839 through 1972 were studied, with particular emphasis on the 126 patients who underwent operative repair. The major cause of the fistulas (76%) was found to be rupture of a congenital aortic sinus aneurysm, usually during the third or fourth decade of life. The remainder of these fistulas to the heart consisted of simply a tract in an otherwise normal sinus. Ventricular septal defect was the most common associated defect and, when present, was nearly always related to a fistula arising from the right aortic sinus. Repair was successful in 86% of the 126 operated patients. The principles of operative treatment of these fistulas are reviewed.
据报道，一例从左主动脉窦至左心室的瘘管经体外循环成功修复。此外，对1839年至1972年发表于英文文献中的175例主动脉窦至心脏的瘘管病例进行了研究，特别关注了其中接受手术修复的126例患者。发现瘘管的主要原因（76%）是先天性主动脉窦瘤破裂，通常发生在生命的第三个或第四个十年。其余这些至心脏的瘘管仅为正常窦内的一条通道。室间隔缺损是最常见的相关缺损，一旦出现，几乎总是与起源于右主动脉窦的瘘管有关。126例接受手术的患者中，86%的修复成功。本文回顾了这些瘘管手术治疗的原则。
