特发性右心房扩大症部分心房切除术后的心包加固术

Pericardial reinforcement after partial atrial resection in idiopathic enlargement of the right atrium.

作者信息

Kalangos A, Ouaknine R, Hulin S, Cohen L, Lecompte Y

机构信息

Unit of Pediatric and Prenatal Cardiology, Institut Cardiovasculaire Paris Sud, Massy, France.

出版信息

Ann Thorac Surg. 2001 Feb;71(2):737-8. doi: 10.1016/s0003-4975(00)02318-3.

DOI:10.1016/s0003-4975(00)02318-3

PMID:11235752

Abstract

A 2-year-old boy in whom idiopathic enlargement of the right atrium was diagnosed in utero by fetal echocardiography underwent surgical intervention because of progression of right atrial dilatation. During operation, the lateral right atrial wall was externally reinforced after partial resection by approximating and fixing the neighboring autologous pericardium around the external circumference of the right atrium. This technique is a useful means of preventing recurrence of dilatation in histologically abnormal right atrial tissue that predisposes the patient to possible reintervention.

摘要

一名2岁男孩，在胎儿期经胎儿超声心动图诊断为特发性右心房扩大，因右心房扩张进展而接受手术干预。手术中，在部分切除后，通过将相邻的自体心包围绕右心房外周进行近似和固定，对右心房外侧壁进行外部加固。该技术是预防组织学异常的右心房组织扩张复发的有用方法，这种异常组织使患者有可能需要再次干预。