Endo S, Tsunemoto M, Ota Y, Shimada M, Fujimatsu T, Ishizawa A, Koike K, Akagi M, Nakamoto M, Kobayashi J
Division of Cardiovascular Surgery, National Children's Hospital.
Kyobu Geka. 1991 Mar;44(3):254-6.
A successful repair of cor triatriatum with VSD, PDA and CoA is reported. A two-month-old boy was admitted for evaluation of growth failure and cyanosis. Physical examination on admission revealed systolic murmurs at left sternal border. Chest X-ray showed increased pulmonary vascularities without cardiomegaly. Echocardiography showed abnormal wall in left atrium with VSD, PDA and CoA. An emergency operation consisting of patch closure of VSD, ligation of PDA and resection of the anomalous left atrial membrane were performed. At postoperative course, an episode of pulmonary hypertension crisis happened. But the patient tolerated this episode and survived.
报道了一例合并室间隔缺损（VSD）、动脉导管未闭（PDA）和主动脉缩窄（CoA）的三房心成功修复病例。一名两个月大的男孩因生长发育迟缓及发绀入院评估。入院体格检查发现左胸骨缘有收缩期杂音。胸部X线显示肺血管增多但心脏大小正常。超声心动图显示左心房壁异常，合并VSD、PDA和CoA。进行了急诊手术，包括VSD补片修补、PDA结扎及异常左心房膜切除术。术后病程中发生了一次肺动脉高压危象。但患者耐受了此次危象并存活下来。
