Aorto-right Ventricular Shunt and Associated Aortic Valve Injury Resulting from a Penetrating Wound of the Heart

Aorto-right Ventricular Shunt and Associated Aortic Valve Injury Resulting from a Penetrating Wound of the Heart
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心脏穿透伤导致主动脉右心室分流及相关主动脉瓣损伤

DOI:
10.1055/s-2007-1023431
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发表时间:
1984
期刊:
The Thoracic and Cardiovascular Surgeon
影响因子:
--
通讯作者:
J. Cachera1
J. Cachera1
中科院分区:
--
文献类型:
--
作者:
J. Seguin1;P. Bouillon1;Ph. Aubry1;J. Acar2;J. Cachera1

文献摘要

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A case of a traumatic aorto-right ventricular fistula associated with an aortic valve injury and subsequent successful treatment is reported. A possible delay in diagnosis necessitates follow-up of patients after penetrating thoracic wounds. Early surgical treatment is mandatory because of the risks of both heart failure and endocarditis and because of the low operative morbidity. An aortic approach appears to be preferable because it permits repair of both the fistula and the valvular injury. Reconstruction of valvular injuries is preferable since long-term competence without prosthetic replacement can be achieved.