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共同动脉干合并三尖瓣闭锁的手术治疗

Operative treatment of truncus arteriosus communis coexisting with tricuspid atresia.

作者信息

Malec E, Mroczek T, Pajak J, Kordon Z

机构信息

Department of Pediatric Cardiac Surgery, Polish-American Children's Hospital, Collegium Medicum, Jagiellonian University, Kraków.

出版信息

Ann Thorac Surg. 2000 Jan;69(1):278-80. doi: 10.1016/s0003-4975(99)01261-8.

DOI:10.1016/s0003-4975(99)01261-8
PMID:10654536
Abstract

The coexistence of tricuspid atresia and common arterial trunk is extremely rare. We present a successful three-stage surgical treatment of this defect. The first stage included disconnection of the pulmonary arteries from the common trunk, atrial septectomy and systemic-to-pulmonary shunt; the second stage, a hemi-Fontan procedure; and the third stage, a fenestrated Fontan completion. The child is now 8 years old and is developing well.

摘要

三尖瓣闭锁与共同动脉干并存极为罕见。我们介绍了对此缺陷成功进行的三阶段手术治疗。第一阶段包括将肺动脉与共同动脉干离断、房间隔切除术及体肺分流术;第二阶段,进行半Fontan手术;第三阶段,完成开窗Fontan手术。患儿现8岁,发育良好。

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引用本文的文献

1
Common Arterial Trunk Associated with Functionally Univentricular Heart: Anatomical Study and Review of the Literature.共同动脉干合并功能性单心室:解剖学研究及文献综述
J Cardiovasc Dev Dis. 2021 Dec 6;8(12):175. doi: 10.3390/jcdd8120175.
2
A case of staged Norwood procedure for a unique form of truncus arteriosus, interrupted aortic arch with hypoplastic tricuspid valve and right ventricle and anomalous left coronary artery orifice: first reported case.一例针对一种特殊类型的永存动脉干、主动脉弓中断合并三尖瓣及右心室发育不全以及左冠状动脉开口异常的分期诺伍德手术病例:首例报道。
Gen Thorac Cardiovasc Surg. 2017 Apr;65(4):209-212. doi: 10.1007/s11748-015-0608-x. Epub 2015 Dec 19.
3
Truncus arteriosus communis in a midtrimester fetus: comparison of prenatal ultrasound and MRI with postmortem MRI and autopsy.
孕中期胎儿共同动脉干:产前超声和磁共振成像与尸体磁共振成像及尸检的比较
Eur Radiol. 2004 Nov;14(11):2120-4. doi: 10.1007/s00330-004-2419-9. Epub 2004 Oct 6.
4
Persistent Truncus Arteriosus.永存动脉干
Curr Treat Options Cardiovasc Med. 2003 Oct;5(5):429-438. doi: 10.1007/s11936-003-0049-1.