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心房调转手术中的肺静脉梗阻:一种被遗忘的并发症。

Pulmonary venous obstruction in the atrial switch operation: a forgotten complication.

作者信息

Elder Robert W, Hellenbrand William E

机构信息

Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, 3959 Broadway, 2 North, New York, NY 10032-3784, USA.

出版信息

Pediatr Cardiol. 2012 Oct;33(7):1183-6. doi: 10.1007/s00246-012-0241-8. Epub 2012 Feb 22.

Abstract

The reported case involved a 7-year-old girl with congenitally corrected transposition of the great arteries (ccTGA) and situs inversus who after surgical management experienced symptoms of dyspnea and left-sided obstructive heart disease. Her symptoms, chest X-ray, and cardiac catheterization demonstrated pulmonary venous obstruction, a known but rare complication associated with intra-atrial baffle obstruction. The incidence of the reported disorder, the follow-up assessment, and the current literature regarding complications of Senning/Mustard surgery are discussed in the context of patients with ccTGA.

摘要

该报告病例为一名7岁女孩,患有先天性矫正型大动脉转位(ccTGA)及内脏反位,手术治疗后出现呼吸困难症状及左侧阻塞性心脏病。她的症状、胸部X光及心导管检查显示存在肺静脉梗阻,这是一种与心房内挡板梗阻相关的已知但罕见的并发症。本文结合ccTGA患者的情况,讨论了该疾病的发病率、随访评估以及目前关于森宁/马斯塔德手术并发症的文献。

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