1945年枪伤后心室-心房瘘的自然病史。

Natural history of a ventriculoatrial fistula after a gunshot injury in 1945.

作者信息

Selinger L, Werner K, Silber R, Nellessen U, Inselmann G

机构信息

Medizinische Poliklinik and Klinik für Herz- und Thoraxchirurgie, University of Würzburg, Germany.

出版信息

Ann Thorac Surg. 1998 Apr;65(4):1137-8. doi: 10.1016/s0003-4975(98)00046-0.

DOI:10.1016/s0003-4975(98)00046-0

PMID:9564945

Abstract

We describe an exceptional case of a patient who suffered a penetrating heart injury from a gunshot wound in 1945 leading to a left ventricular-right atrial fistula. Despite the resulting left-to-right shunt the patient remained relatively asymptomatic for 50 years before the onset of congestive heart failure necessitated an operation.

摘要

我们描述了一个特殊病例，该患者在1945年因枪伤导致穿透性心脏损伤，形成左心室-右心房瘘。尽管由此产生了左向右分流，但患者在50年里一直相对无症状，直到充血性心力衰竭发作才需要进行手术。