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完全性肺静脉异位引流矫治术后的肺静脉梗阻:一项挑战

Pulmonary venous obstruction following correction for total anomalous pulmonary venous drainage: a challenge.

作者信息

van de Wal H J, Hamilton D I, Godman M J, Harinck E, Lacquet L K, van Oort A

机构信息

Department of Cardiac Surgery, Wilhelmina Children's Hospital, Utrecht, The Netherlands.

出版信息

Eur J Cardiothorac Surg. 1992;6(10):545-9. doi: 10.1016/1010-7940(92)90006-j.

DOI:10.1016/1010-7940(92)90006-j
PMID:1389237
Abstract

Pulmonary venous obstruction after surgical correction of total anomalous pulmonary venous drainage (TAPVD) is a serious condition. Pulmonary venous obstruction can be the result of a primary developmental error or is due to post-operative anastomotic stricture and is usually manifest within 6 months of surgery. Prompt restudy is indicated and if a stricture is present, urgent surgical relief is indicated. However, the results are often disappointing with a high early mortality and a significant chance of restenosis.

摘要

完全性肺静脉异位引流(TAPVD)手术矫正后发生的肺静脉梗阻是一种严重情况。肺静脉梗阻可能是原发性发育异常的结果,或是术后吻合口狭窄所致,通常在手术后6个月内出现。需要及时再次检查,若存在狭窄,则需紧急手术解除梗阻。然而,结果往往令人失望,早期死亡率高,且再狭窄的可能性很大。

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