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一名22岁大动脉转位患者的姑息性心房调转手术。

Palliative atrial switch operation in a 22-year-old patient with transposition of the great arteries.

作者信息

Yang H S, Park S Y, Park H K, Park Y H

机构信息

Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

Thorac Cardiovasc Surg. 2010 Feb;58(1):45-7. doi: 10.1055/s-2008-1039232. Epub 2010 Jan 13.

DOI:10.1055/s-2008-1039232
PMID:20072977
Abstract

A 2-year-old boy was diagnosed as having transposition of the great arteries (TGA) and ventricular septal defect (VSD) and underwent pulmonary artery banding. The patient showed slow progression of cyanosis and dyspnea on exertion. Oxygen saturation was 70-75 % and cardiac catheterization showed severe pulmonary hypertension. At the age of 22, the patient underwent a palliative atrial switch operation; oxygen saturation increased to around 95 % and the patient experienced relief of symptoms. Atrial fibrillation and right side pleural effusion occurred but resolved and the patient was discharged.

摘要

一名2岁男孩被诊断患有大动脉转位(TGA)和室间隔缺损(VSD),并接受了肺动脉环扎术。患者发绀进展缓慢,活动时出现呼吸困难。血氧饱和度为70-75%,心导管检查显示重度肺动脉高压。22岁时,患者接受了姑息性心房调转手术;血氧饱和度升至约95%,症状得到缓解。出现了房颤和右侧胸腔积液,但均已消退,患者出院。

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