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三尖瓣闭锁合并主肺动脉窗：实现平衡循环的挑战。

Tricuspid atresia with aortopulmonary window: challenges in achieving a balanced circulation.

作者信息

Peer Syed Murfad, Donofrio Mary T, Gaur Lasya, Sinha Pranava

机构信息

Division of Cardiovascular Surgery, Children's National Medical Center, Washington, DC 20010, USA.

出版信息

Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):441-3. doi: 10.1093/icvts/ivt112. Epub 2013 Apr 28.

DOI:10.1093/icvts/ivt112
PMID:23628655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3715160/
Abstract

Tricuspid atresia and aortopulmonary window are rare congenital cardiac anomalies. The occurrence of both these anomalies in the same patient is extremely rare, with only 1 case reported in the literature. We report the surgical management of one such patient and discuss the management issues with respect to Stage 1 single ventricle palliation.

摘要

三尖瓣闭锁和主肺动脉窗是罕见的先天性心脏畸形。同一患者同时出现这两种畸形极为罕见，文献中仅报道过1例。我们报告1例此类患者的手术治疗情况，并讨论关于单心室一期姑息治疗的管理问题。

相似文献

1
Tricuspid atresia with aortopulmonary window: challenges in achieving a balanced circulation.三尖瓣闭锁合并主肺动脉窗：实现平衡循环的挑战。
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):441-3. doi: 10.1093/icvts/ivt112. Epub 2013 Apr 28.
2
eComment. Balancing the pulmonary circulation in tricuspid atresia with an aortopulmonary window.电子评论。通过主肺动脉窗平衡三尖瓣闭锁时的肺循环。
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):443. doi: 10.1093/icvts/ivt247.
3
eReply. Re: Balancing the pulmonary circulation in tricuspid atresia with an aortopulmonary window.电子回复。主题：通过主肺动脉窗平衡三尖瓣闭锁中的肺循环
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):443. doi: 10.1093/icvts/ivt290.
4
Major aortopulmonary collateral arteries in a case of unrepaired tricuspid and pulmonary atresia with single ventricle physiology.主-肺动脉侧支在未修复的三尖瓣闭锁伴单心室伴共同房室瓣型心内生理中的作用。
J Cardiovasc Comput Tomogr. 2020 Nov-Dec;14(6):e177-e179. doi: 10.1016/j.jcct.2020.04.009. Epub 2020 Apr 28.
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Conduit from hypoplastic right ventricle to pulmonary artery in tricuspid atresia.三尖瓣闭锁时从发育不全的右心室到肺动脉的导管。
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Modified central aortopulmonary shunt with end-to-end anastomosis of the shunt to the pulmonary trunk: Early results of a novel shunt procedure for first-stage palliation of infants with pulmonary atresia and hypoplastic pulmonary arteries.改良中心性主动脉-肺动脉分流术，分流管与肺动脉干端对端吻合：一种用于肺动脉闭锁合并肺动脉发育不良婴儿一期姑息治疗的新型分流术的早期结果
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Tricuspid atresia associated with aortopulmonary window: diagnostic and therapeutic dilemmas.三尖瓣闭锁合并主肺动脉窗：诊断与治疗难题
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Tricuspid atresia associated with truncus arteriosus versus aortopulmonary window: combining fetal and postnatal echocardiography to make the diagnosis.三尖瓣闭锁合并动脉干与主肺动脉窗：联合胎儿及产后超声心动图进行诊断
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Results of palliation with an initial pulmonary artery band in patients with single ventricle associated with unrestricted pulmonary blood flow.单心室合并无限制肺血流患者初始肺动脉环缩术姑息治疗的结果。
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引用本文的文献

1
Complex aortopulmonary window in a single ventricle setting: Technical considerations for staged palliation.单心室合并复杂主肺动脉窗：分期姑息治疗的技术考量
Ann Pediatr Cardiol. 2016 May-Aug;9(2):167-9. doi: 10.4103/0974-2069.180673.
2
eReply. Re: Balancing the pulmonary circulation in tricuspid atresia with an aortopulmonary window.电子回复。主题：通过主肺动脉窗平衡三尖瓣闭锁中的肺循环
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):443. doi: 10.1093/icvts/ivt290.
3
eComment. Balancing the pulmonary circulation in tricuspid atresia with an aortopulmonary window.电子评论。通过主肺动脉窗平衡三尖瓣闭锁时的肺循环。
Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):443. doi: 10.1093/icvts/ivt247.

本文引用的文献

1
Outcomes of tricuspid atresia in the Fontan era.Fontan时代三尖瓣闭锁的治疗结果。
Ann Thorac Surg. 2004 Mar;77(3):889-94. doi: 10.1016/j.athoracsur.2003.09.027.
2
Early changes in ventricular septal defect size and ventricular geometry in the single left ventricle after volume-unloading surgery.容量卸载手术后单心室中室间隔缺损大小及心室几何形态的早期变化。
J Am Coll Cardiol. 1995 Oct;26(4):1008-15. doi: 10.1016/0735-1097(95)00241-5.
3
Anatomy and pathogenesis of aorticopulmonary septal defect.主肺动脉间隔缺损的解剖学与发病机制。
Am J Cardiol. 1987 Feb 15;59(5):443-7. doi: 10.1016/0002-9149(87)90953-2.
4
Tricuspid atresia associated with aortopulmonary window: controlling pulmonary blood flow with a fenestrated patch.三尖瓣闭锁合并主肺动脉窗：用带孔补片控制肺血流量。
Am Heart J. 1992 Jan;123(1):260-2. doi: 10.1016/0002-8703(92)90787-v.