Echocardiographic study of operation-related aorto-cardiac fistula
10.3760/cma.j.cn131148-20200909-00733
- VernacularTitle:手术相关主动脉心腔瘘的超声心动图研究
- Author:
Yu LIANG
;
Muzi LI
;
Xing ZHAO
;
Yiming GAO
;
Jiande WANG
;
Linyuan WAN
;
Hongxia QI
;
Hao WANG
;
Kunjing PANG
- From:
Chinese Journal of Ultrasonography
2021;30(2):93-97
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the echocardiographic features of operation-related aorto-cardiac fistula(ACF) after surgery or transcatheter procedure, to explore the value of echocardiography on diagnosis of operation-related ACF, and summarize the key points of its diagnosis.Methods:Eight patients with operation-related ACF who were admitted to Fuwai Hospital were collected from July 2002 to December 2020. Echocardiographic features of the 8 patients with operation-related ACF were reviewed and analyzed. The diagnosis methodology was summarized.Results:Of the 8 patients with operation-related ACF, 3 had aortic right atrial fistula and 5 had aortic right ventricular fistula. The fistula was single, which can be located but not limited to the aortic sinus. The median size of the fistula was 4 mm (range: 3-5 mm). There was no aneurysmal dilation of the aortic sinus where the fistula was located. The fractured end of the fistula did not thin, and the fistula had a regular shape. Six of the 8 patients undertook cardiac catheterization and occlusion. One patient received surgical repairment. One patient was treated conservatively.Conclusions:Echocardiography can help diagnose operation-related ACF and provide valuable information for further clinical diagnosis and treatment. Sonographers should avoid missed diagnosis and pay attention to distinguishing from other causes of aortic-cardiac shunt disease.
