右心室流出道动脉瘤伴血栓形成。
Right ventricular outflow tract aneurysm with thrombus.
作者信息
Peer Syed Murfad, Bhat P S Seetharama, Furtado Arul Dominic, Chikkatur Raghavendra
机构信息
Department of Cardiothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.
出版信息
Interact Cardiovasc Thorac Surg. 2012 Apr;14(4):488-90. doi: 10.1093/icvts/ivr151. Epub 2012 Jan 9.
Abstract
Right ventricular outflow tract (RVOT) aneurysm is a known complication of tetralogy of Fallot repair when a ventriculotomy is done. It leads to RV dysfunction and may require re-operation. We describe a rare instance of a patient who developed an RVOT aneurysm after trans-ventricular repair of tetralogy of Fallot, which was complicated with the formation of a thrombus in the aneurysm sac. The patient underwent re-operation with thrombectomy, excision of the RVOT aneurysm and pulmonary valve replacement. To the best of our knowledge, the occurrence of this combination and its implications have not been reported.
摘要
右心室流出道（RVOT）动脉瘤是法洛四联症修复术（进行心室切开术时）已知的一种并发症。它会导致右心室功能障碍，可能需要再次手术。我们描述了一例罕见病例，该患者在法洛四联症经心室修复术后发生了RVOT动脉瘤，并伴有瘤腔内血栓形成。患者接受了再次手术，包括血栓切除术、RVOT动脉瘤切除术和肺动脉瓣置换术。据我们所知，这种情况的发生及其影响尚未见报道。
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