| Autor: |
C, Christides, M, Laskar, P, Virot, F, Dany, P, Brutus, P, Blanc, J J, Doumeix |
| Jazyk: |
francouzština |
| Rok vydání: |
1985 |
| Předmět: |
|
| Zdroj: |
Annales de cardiologie et d'angeiologie. 34(5) |
| ISSN: |
0003-3928 |
| Popis: |
Two fairly similar cases of internal mammary arterio-venous fistula were observed in two patients involved in serious road accidents, following which a catheter was inserted into the subclavian vein for the purposes of resuscitation. The clinical diagnosis was made in both cases on routine examination, which revealed a continuous right subclavian bruit with extensive radiation three years after the accident. There were no functional implications. Further investigations revealed a fistula located between the internal mammary artery and the right brachiocephalic venous trunk and demonstrated the haemodynamic consequences: normal intra-cardiac pressures, but a pulmonary blood flow which was twice that of the systemic blood flow. Both cases were treated by means of surgical cure via thoracotomy, which confirmed the nature of the arterio-venous fistula and which defined the relations with the phrenic nerve, which is the most exposed element. The results of this operation were excellent in both cases. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
