Ramsheyi S A, Nataf P, Jault F, Pavie A, Gandjbakhch I
Service de chirurgie thoracique cardiovasculaire, Paris.
Arch Mal Coeur Vaiss. 1995 Dec;88(12):1897-9.
The authors report a case of an iatrogenic fistula between the left circumflex coronary artery and left atrium. The fistula was a complication of reoperation to replace a mitral valvuloplasty annulus by a mechanical hemi-disc prosthesis (Saint Jude Medical). Diagnosis was made by transoesophageal echocardiography and confirmed by coronary angiography. The patient underwent external ligature under cardio-pulmonary bypass.
作者报告了一例左旋支冠状动脉与左心房之间医源性瘘管的病例。该瘘管是使用机械半盘式假体(圣犹达医疗公司)替换二尖瓣成形环再次手术的并发症。通过经食管超声心动图做出诊断,并经冠状动脉造影证实。患者在体外循环下接受了外部结扎术。