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[59例先天性部分房室间隔缺损的手术考量]

[Surgical consideration in congenital partial atrioventricular septal defect in 59 patients].

作者信息

Yu Y, Li G, Zhu L

机构信息

Department of Cardiovascular Surgery, Genaral Hospital, People's Liberation Army, Beijing.

出版信息

Zhonghua Wai Ke Za Zhi. 1997 Jul;35(7):428-30.

Abstract

We report surgical anatomic characteristics, timing of surgery, corrective methods of partial atrioventricular defect and prevention of complications. In the past 15 years, we operated on 59 patients with partial atrioventricular septal defect, associated with conduction abnormality in 39 patients, common atrium in 2, mitral insufficiency (MI) in 54, tricuspid insiufficiency in 29, andunroofed coronary sinus in 6. One patient could not wean from cardiopulmanary bypass and died during operation. After surgery, 5 patients had moderate residual MI, and 1 complete heart block. During 1 to 16 years of followup, all but 1 patient with class III (NYHA) had satisfactory results.

摘要

我们报告部分房室间隔缺损的手术解剖特征、手术时机、矫正方法及并发症的预防。在过去15年中,我们对59例部分房室间隔缺损患者进行了手术,其中39例伴有传导异常,2例有共同心房,54例有二尖瓣关闭不全(MI),29例有三尖瓣关闭不全,6例有冠状静脉窦未闭。1例患者在体外循环下未能脱离呼吸机并于术中死亡。术后,5例患者有中度残余MI,1例有完全性心脏传导阻滞。在1至16年的随访中,除1例纽约心脏协会(NYHA)心功能III级的患者外,所有患者的结果均令人满意。

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