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成功修复新生儿乳头肌破裂继发的严重三尖瓣反流。

Successful repair of critical tricuspid regurgitation secondary to ruptured papillary muscle in a newborn.

作者信息

Lim Kyoung Ah, Huh June, Jun Tae-Gook

机构信息

Department of Pediatrics, Sungkyunkwan University, School of Medicine, Samsung Medical Center, Seoul, Korea.

出版信息

Cardiol Young. 2004 Aug;14(4):450-2. doi: 10.1017/S1047951104004172.

Abstract

We report a rare case of an isolated critical tricuspid regurgitation due to rupture of a papillary muscle. This patient presented with a cyanosis immediately after birth. Despite mechanical ventilation and medical management to decrease the pulmonary vascular resistance, the low cardiac output persisted, along with the cyanosis. Repair of the tricuspid valve was performed, using an artificial tendinous cord, on the 4th day of life. The short-term result of the surgery is satisfactory, but the patient requires long-term follow-up.

摘要

我们报告一例罕见的因乳头肌破裂导致的单纯严重三尖瓣反流病例。该患者出生后立即出现青紫。尽管进行了机械通气和药物治疗以降低肺血管阻力,但低心输出量和青紫持续存在。患儿出生后第4天使用人工腱索进行了三尖瓣修复术。手术的短期结果令人满意,但患者需要长期随访。

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