Tatebe Shoh, Saji Yoshiaki, Aoki Kenji, Kuraoka Setsuo
Department of Thoracic and Cardiovascular Surgery, Mito Saiseikai General Hospital, Mito City, Japan.
Ann Thorac Surg. 2006 May;81(5):1888-90. doi: 10.1016/j.athoracsur.2005.05.086.
A 65-year-old woman with intermediate type atrioventricular septal defect had been undiagnosed until initial presentation with congestive heart failure. She underwent surgery when the ventricular septal defect was found to be restrictive. The atrioventricular valve was similar to the common atrioventricular valve, but was connected to the crest of the ventricular septal defect. Surgery included direct closure of the ventricular septal defect, repair of the cleft in the atrioventricular valve, and ostium primum closure. Postoperative echocardiography indicated successful heart repair. We present a review of rare intermediate type atrioventricular septal defect in the elderly, and we discuss the surgical issues in this case.
一名65岁患有中间型房室间隔缺损的女性，在最初因充血性心力衰竭就诊之前一直未被诊断出来。当发现室间隔缺损具有限制性时，她接受了手术。房室瓣类似于共同房室瓣，但与室间隔缺损的嵴相连。手术包括直接闭合室间隔缺损、修复房室瓣裂以及原发孔闭合。术后超声心动图显示心脏修复成功。我们对老年人中罕见的中间型房室间隔缺损进行了综述，并讨论了该病例中的手术问题。
