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[一名等待心脏移植的左心发育不全综合征婴儿的球囊房间隔造口术]

[Blade atrial septostomy in an infant with hypoplastic left heart syndrome awaiting heart transplantation].

作者信息

Benito Bartolomé F

机构信息

Sección de Hemodinámica, Laboratorio de Cateterismo Cardíaco, Hospital Infantil La Paz, Madrid.

出版信息

An Esp Pediatr. 2001 Apr;54(4):402-4.

PMID:11273826
Abstract

Blade atrial septostomy was performed in a 36 day-old infant diagnosed with hypoplastic left heart syndrome and restrictive atrial septal defect. The patient was awaiting cardiac transplantation. The defect was enlarged using a 9.4-cm blade. The mean atrial gradient was reduced from 19 to 2mmHg. After septostomy the patient showed marked clinical improvement and aortic oxygen saturation increased from 68% to 88% with no complications. Twenty-five days later orthotopic heart transplantation was successfully performed.

摘要

对一名36日龄、被诊断为左心发育不全综合征和限制性房间隔缺损的婴儿实施了刀片式房间隔造口术。该患者正在等待心脏移植。使用9.4厘米的刀片扩大了缺损。平均心房压差从19mmHg降至2mmHg。造口术后患者临床症状明显改善,主动脉血氧饱和度从68%升至88%,且无并发症。25天后成功进行了原位心脏移植。

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