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镜面右位心患者的心肺移植。1例患有卡塔格内综合征患者的病例报告。

Heart-lung transplantation in situs inversus. A case report in a patient with Kartagener's syndrome.

作者信息

Miralles A, Muneretto C, Gandjbakhch I, Lecompte Y, Pavie A, Rabago G, Bracamonte L, Desruennes M, Cabrol A, Cabrol C

机构信息

Department of Cardiac Surgery, La Pitié, Paris, France.

出版信息

J Thorac Cardiovasc Surg. 1992 Feb;103(2):307-13.

PMID:1735997
Abstract

After a long history of recurrent chronic pulmonary infections in a 25-year-old woman with Kartagener's syndrome, a heart-lung transplantation was performed. A modified surgical procedure was needed to perform transplantation because of the presence of a situs inversus, which is usually associated with bronchiectasis and sinusitis in this congenital syndrome. A large single atrium was created with both the right and left recipient atria used to facilitate anastomosis with the donor's right atrium. The patient was discharged after resolution of early ventilatory complications and is in good condition 8 months after transplantation.

摘要

一名患有卡塔格内综合征的25岁女性,经历了长期反复的慢性肺部感染后,接受了心肺移植手术。由于存在内脏反位,需要采用改良的手术方法进行移植,这种先天性综合征通常伴有支气管扩张和鼻窦炎。利用受体的右心房和左心房构建了一个大的单心房,以利于与供体右心房进行吻合。患者在早期通气并发症得到解决后出院,移植后8个月状况良好。

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引用本文的文献

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Double lung transplantation for end-stage Kartagener syndrome: a case report and literature review.终末期卡塔格内综合征的双肺移植:一例病例报告及文献综述
J Thorac Dis. 2020 Apr;12(4):1588-1594. doi: 10.21037/jtd.2020.02.28.
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Management of a young patient with dextrocardia, atrial septal defect, and Eisenmenger syndrome with venous-venous extracorporeal membrane oxygenation and heart-lung transplantation.一名患有右位心、房间隔缺损和艾森曼格综合征的年轻患者采用静脉-静脉体外膜肺氧合和心肺移植的治疗
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