Hasegawa N, Sekiguchi A, Nagata N, Ookawa Y, Ito K, Miyazawa Y
Department of Thoracic and Cardiovascular Surgery, Kanagawa Children's Medical Center.
Kyobu Geka. 1992 Feb;45(2):179-82.
We experienced a surgery for an isolated right ventricular hypoplasia with atrial septal defect (ASD). The patient, 3 1/2-year-old girl, underwent direct closure of ASD. Preoperatively right ventricular end diastolic volume was 18 ml or 22 ml including trabecular portion by angiocardiographic examination. It was almost a half of normal. We performed intraoperative ASD occlusion test using a Foley 12 F balloon catheter before surgical closure of ASD. Postoperatively, mild right pleural effusion was found, but it disappeared soon with a use of diuretics. ASD occlusion test was safe and useful for estimating surgical closure of ASD. Postoperative cardiac catheterization revealed slight increase of right atrial pressure. It is necessary to follow up her condition carefully.
我们经历了一例针对孤立性右心室发育不全合并房间隔缺损（ASD）的手术。该患者为一名3岁半的女童，接受了房间隔缺损的直接闭合术。术前通过心血管造影检查，右心室舒张末期容积为18毫升或包括小梁部分在内为22毫升，几乎是正常的一半。在手术闭合房间隔缺损之前，我们使用Foley 12F球囊导管进行了术中房间隔缺损封堵测试。术后发现有轻度右侧胸腔积液，但使用利尿剂后很快消失。房间隔缺损封堵测试对于评估房间隔缺损的手术闭合是安全且有用的。术后心脏导管检查显示右心房压力略有升高。有必要仔细随访她的病情。
