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成人埃布斯坦畸形的外科治疗

Surgical management of Ebstein's anomaly in the adult.

作者信息

Dearani Joseph A, Danielson Gordon K

机构信息

Division of Cardiovascular Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota 55902, USA.

出版信息

Semin Thorac Cardiovasc Surg. 2005 Summer;17(2):148-54. doi: 10.1053/j.semtcvs.2005.02.008.

DOI:10.1053/j.semtcvs.2005.02.008
PMID:16087085
Abstract

Ebstein's anomaly is a rare cardiac malformation that affects the tricuspid valve, right ventricle, and right atrioventricular junction. These anatomical and functional abnormalities cause important tricuspid regurgitation that results in right atrial and right ventricular dilatation and atrial and ventricular arrhythmias. Diagnosis is made by echocardiography. Operation includes tricuspid valve repair or replacement, closure of any interatrial communications, and appropriate antiarrhythmia procedures. Repair of Ebstein's anomaly eliminates right-to-left intracardiac shunting, improves exercise tolerance and functional class, and reduces supraventricular arrhythmias. In addition, quality of life and longevity are improved.

摘要

埃布斯坦畸形是一种罕见的心脏畸形,累及三尖瓣、右心室和右房室交界处。这些解剖和功能异常导致严重的三尖瓣反流,进而引起右心房和右心室扩张以及房性和室性心律失常。通过超声心动图进行诊断。手术包括三尖瓣修复或置换、关闭任何心房内交通以及适当的抗心律失常程序。埃布斯坦畸形的修复消除了心内右向左分流,提高了运动耐量和心功能分级,并减少了室上性心律失常。此外,生活质量和寿命也得到了改善。

相似文献

1
Surgical management of Ebstein's anomaly in the adult.成人埃布斯坦畸形的外科治疗
Semin Thorac Cardiovasc Surg. 2005 Summer;17(2):148-54. doi: 10.1053/j.semtcvs.2005.02.008.
2
Surgical management of Ebstein's anomaly.埃布斯坦畸形的外科治疗
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2007:105-11. doi: 10.1053/j.pcsu.2007.01.007.
3
[Repair of Ebstein's anomaly in an elderly patient; report of a case].[老年患者埃布斯坦畸形的修复;病例报告]
Kyobu Geka. 2008 Sep;61(10):887-90.
4
[A case report of Ebstein's anomaly treated with Hetzer's procedure].[采用赫策尔手术治疗埃布斯坦畸形的病例报告]
Kyobu Geka. 2001 Feb;54(2):97-100.
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Mimics of Ebstein's anomaly.埃布斯坦畸形的模仿者。
Am Heart J. 1997 Sep;134(3):508-13. doi: 10.1016/s0002-8703(97)70088-7.
6
[Pre and Postoperative evaluation of the incidence of arrhythmia in patients undergoing corrective intervention for Ebstein anomaly].[埃布斯坦畸形矫正干预患者心律失常发生率的术前和术后评估]
Ital Heart J Suppl. 2000 Sep;1(9):1173-9.
7
Interventional closure of atrial septal defects in adult patients with Ebstein's anomaly.成人埃布斯坦畸形患者房间隔缺损的介入封堵治疗
Congenit Heart Dis. 2011 Jul-Aug;6(4):374-81. doi: 10.1111/j.1747-0803.2011.00493.x. Epub 2011 Mar 25.
8
A new reconstructive operation for Ebstein's anomaly of the tricuspid valve.一种治疗三尖瓣埃布斯坦畸形的新型重建手术。
J Thorac Cardiovasc Surg. 1988 Jul;96(1):92-101.
9
Posterior annular plication: tricuspid valve repair in Ebstein's anomaly.后瓣环折叠术:埃布斯坦畸形中的三尖瓣修复术。
Ann Thorac Surg. 2004 Jun;77(6):2167-71. doi: 10.1016/j.athoracsur.2003.11.025.
10
[A successful case of tricuspid valvulectomy for Ebstein's anomaly with severe tricuspid stenosis].[1例成功施行三尖瓣切除术治疗埃布斯坦畸形合并严重三尖瓣狭窄的病例]
Nihon Kyobu Geka Gakkai Zasshi. 1992 Feb;40(2):305-10.

引用本文的文献

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2
The Utility of Multimodality Imaging in a Patient with Ebstein Anomaly.多模态成像在一名埃布斯坦畸形患者中的应用
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3
Persistent left superior vena cava in a 29-year-old lady with Ebstein's anomaly and complete heart block. A case report and literature review.
一名患有埃布斯坦畸形和完全性心脏传导阻滞的29岁女性的持续性左上腔静脉。病例报告及文献综述。
Ann Med Surg (Lond). 2022 May 31;78:103884. doi: 10.1016/j.amsu.2022.103884. eCollection 2022 Jun.
4
Report of persistent left superior vena cava associated with Ebstein's anomaly of tricuspid valve.持续性左上腔静脉合并三尖瓣埃布斯坦畸形的报告。
ARYA Atheroscler. 2021 Sep;17(5):1-4. doi: 10.22122/arya.v17i0.2287.
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Inflammatory response of Teflon felt strip 41 years after surgical repair for Ebstein's anomaly.埃布斯坦畸形手术修复41年后聚四氟乙烯毡条的炎症反应。
J Nucl Cardiol. 2023 Aug;30(4):1700-1701. doi: 10.1007/s12350-022-02991-w. Epub 2022 May 24.
6
Ebstein's anomaly presenting with the acute coronary syndrome-a rare combination.以急性冠状动脉综合征为表现的埃布斯坦畸形——一种罕见的组合。
Indian J Thorac Cardiovasc Surg. 2020 Jan;36(1):56-59. doi: 10.1007/s12055-019-00840-z. Epub 2019 Aug 2.
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Electrocardiography findings and clinical presentation in Ebstein's anomaly.心电图表现与三尖瓣下移畸形的临床表现。
Singapore Med J. 2019 Nov;60(11):560-564. doi: 10.11622/smedj.2019146.
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Mid-term outcomes of individualized surgeries in patients with Ebstein's anomaly.埃布斯坦畸形患者个体化手术的中期结果
Heart Vessels. 2019 Aug;34(8):1332-1339. doi: 10.1007/s00380-019-01358-5. Epub 2019 Mar 8.
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Ebstein Anomaly with Pregnancy: A Rare Case.埃布斯坦畸形合并妊娠:一例罕见病例。
J Reprod Infertil. 2018 Apr-Jun;19(2):119-122.
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Surgical treatment for adult congenital heart disease: consideration for indications and procedures.成人先天性心脏病的外科治疗:适应证与手术方式的考量
Gen Thorac Cardiovasc Surg. 2018 Feb;66(2):57-64. doi: 10.1007/s11748-017-0861-2. Epub 2017 Nov 8.