Kawada Noriyasu, Yamagishi Masaaki, Morita Kiyozo, Kanazawa Toshiyuki, Nakamura Yuzuru
Department of Cardiovascular Surgery, Saitama Children's Hospital, Saitama, Japan.
Jpn J Thorac Cardiovasc Surg. 2004 Feb;52(2):88-90. doi: 10.1007/s11748-004-0092-1.
The left isomerism heart is common to have various forms of the systemic and pulmonary venous connections, for which numerous reparative methods have been proposed. This report describes a successful extracardiac rerouting of the persistent left superior vena cava of a 6-year-old girl patient having the isomerism heart, bilateral superior vena cava, partial anomalous pulmonary venous connection, and partial form of the atrioventricular septal defect. Intraatrial rerouting of the left superior vena cava was found unfeasible, since this procedure had a potential hazard to obstruct the systemic and/or pulmonary venous drainage. The patient recovered uneventfully and is leading a normal life 6 years after the surgery.
左侧异构心常伴有各种形式的体静脉和肺静脉连接异常，针对此提出了多种修复方法。本报告描述了一名6岁患有异构心、双侧上腔静脉、部分性肺静脉异位连接及部分型房室间隔缺损的女童患者，其永存左上腔静脉成功进行心外改道的情况。发现左上腔静脉心房内改道不可行，因为该操作有潜在风险阻碍体静脉和/或肺静脉引流。患者术后恢复顺利，术后6年过着正常生活。
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