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临床资料患者,女,46岁。因“先天性心脏病术后8年,发现心脏杂音4个月余”入院。患者既往有“先天性心脏病,动脉导管未闭,右冠状动脉-右心室瘘”病史。2005年6月8日在外院行“动脉导管结扎术+右冠状动脉-右心室瘘矫治术”。术后3个月超声心动图提示主动脉瓣重度关闭不全,三尖瓣重度关闭不全,右冠状动脉-右心室瘘。2005年11月3日行“右冠状动脉-右心室瘘矫治术+主动脉瓣置换术+三尖瓣成形术”。术后复查再次发现胸骨左缘第4肋间连续性杂音。入院后心电图示Ⅱ、Ⅲ、aVF、V3~V6导联ST段压低,
Clinical data, female, 46 years old. Because of “8 years after surgery, congenital heart disease, heart murmur more than 4 months ” admitted. The patient had a history of “congenital heart disease, patent ductus arteriosus, right coronary artery - right ventricular fistula”. June 8, 2005 in the hospital line “ductus arteriosus + right coronary artery - right ventricular fistula correction ”. 3 months after echocardiography prompted aortic regurgitation, tricuspid regurgitation, right coronary artery - right ventricular fistula. November 3, 2005 line “right coronary artery - right ventricular fistula correction + aortic valve replacement + tricuspid annuloplasty ”. Postoperative review once again found the fourth intercostal sternal left intercostal murmur. ECG after admission showed Ⅱ, Ⅲ, aVF, V3 ~ V6 lead ST segment depression,