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[婴儿完全性肺静脉异位连接(心上型Ib型)伴肺静脉形态异常的成功手术治疗]

[Successful surgical treatment of total anomalous pulmonary venous connection (supracardiac Ib type) showing an unusual shape of the pulmonary veins in an infant].

作者信息

Fujimatsu T, Tsunemoto M, Kazuma H, Ohta Y, Koyama T, Neya K, Ishizawa A, Koike K, Akagi M, Kobayashi J

机构信息

Division of Cardiovascular Surgery, National Children's Hospital Tokyo.

出版信息

Kyobu Geka. 1991 Jan;44(1):93-6.

PMID:2038153
Abstract

An experience of a 9-month-old infant with Darling's type Ib of total anomalous pulmonary venous connection is presented. In this case, the left pulmonary vein traveled horizontally behind the atrium, entered the right thoracic cavity and drained into the SVC together with the right lower, middle and upper pulmonary veins. The patient was treated with repair using Gersony-Malm's method and plasty of SVC because of the stenosis of the common pulmonary vein's entrance to the SVC. Her postoperative course was uneventful, and the result was satisfactory. To our knowledge, our case is the first successful correction not associated with other complex cardiac anomalies in the world.

摘要

本文报道了一名9个月大婴儿患有达林氏Ib型完全性肺静脉异位连接的病例。在此病例中,左肺静脉在心房后方水平走行,进入右侧胸腔,并与右下、中、上肺静脉一起汇入上腔静脉。由于共同肺静脉汇入上腔静脉处狭窄,患者接受了格森尼-马尔姆法修复及上腔静脉成形术治疗。术后恢复顺利,结果令人满意。据我们所知,我们的病例是世界上首例成功矫正且未合并其他复杂心脏畸形的病例。

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