Turkiye Yuksek Ihtisas Hospital, Department of Cardiology, Ankara, Turkey.
Can J Cardiol. 2011 Nov-Dec;27(6):868.e9-10. doi: 10.1016/j.cjca.2011.08.116. Epub 2011 Oct 19.
We report the case of a 20-year-old woman who received corrective surgery for a secundum atrial septal defect, during which right atrial inflow obstruction developed because of inadvertent suturing of the eustachian valve to the interatrial septum. Although reliable cardiac surgical techniques are available, this rather rare complication may have deleterious results for patients. If a previously absent murmur is detected in the lower left parasternal border after atrial septal defect surgery, right atrial inflow obstruction caused by the eustachian valve should be kept in mind and further careful examination undertaken.
我们报告了一例 20 岁女性患者，她因继发房间隔缺损接受了矫正手术，在此过程中由于无意中将咽鼓管瓣缝合到房间隔上，导致右心房流入道阻塞。尽管有可靠的心脏外科技术，但这种相当罕见的并发症可能对患者造成有害后果。如果在房间隔缺损手术后在左下胸旁区出现以前不存在的杂音，应考虑由咽鼓管瓣引起的右心房流入道阻塞，并进行进一步的仔细检查。
