Atay Y, Can L, Yağdi T, Büket S
Department of Cardiovascular Surgery, Ege University Faculty of Medicine, Bornova, Izmir, Turkey.
Tex Heart Inst J. 1998;25(1):72-4.
Although it is a rare occurrence, aortic dissections can rupture into the cardiac chambers or great vessels. A review of the English literature revealed only 3 cases of fistula between an aortic false lumen and the main pulmonary artery that were repaired successfully. In this article, we report the case of a chronic type I aortic dissection with an aortopulmonary artery fistula. The patient presented with congestive heart failure. One year earlier he had undergone aortic valve replacement. To our knowledge, this is the 4th case of a successfully repaired type I aortic dissection with rupture into the pulmonary artery and the 1st such case involving a patient who had undergone a previous cardiac operation.
虽然主动脉夹层破裂进入心腔或大血管的情况较为罕见，但回顾英文文献发现仅有3例主动脉假腔与主肺动脉之间的瘘管成功修复的病例。在本文中，我们报告了1例伴有主肺动脉瘘的慢性I型主动脉夹层病例。该患者因充血性心力衰竭就诊。1年前他接受了主动脉瓣置换术。据我们所知，这是第4例成功修复的破裂进入肺动脉的I型主动脉夹层病例，也是第1例涉及既往有心脏手术史患者的此类病例。
