儿童左心室先天性动脉瘤合并二尖瓣关闭不全的治疗：一例报告
Management of the congenital aneurysm of the left ventricle associated with mitral insufficiency in a child: a case report.
作者信息
Mitsomoy Michel Francklyn, Ajaja Mohomed Reda, Fkiri Btisam, Haddour L, Cheikhaoui Younes
机构信息
Department of Cardiovascular Surgery, Mohamed V University, Cheikh Zaid Hospital, Rabat, Morocco.
出版信息
J Cardiovasc Thorac Res. 2013;5(1):35-6. doi: 10.5681/jcvtr.2013.007. Epub 2013 Mar 18.
Abstract
The combination of congenital left ventricular aneurysm associated with mitral insufficiency is rare. We describe the case of a girl aged 11 years, bearing these two entities simultaneously. Aneurysmal resection of the left ventricle was performed with Dor technic to allow remodelation of the anatomy of the left ventricle. Mitral annuloplasty was performed through a transseptal approach. Three months after surgery, the child presents a good myocardial contractility without mitral regurgitation and normal ejection fraction.
摘要
先天性左心室动脉瘤合并二尖瓣关闭不全的情况较为罕见。我们描述了一名11岁女孩同时患有这两种病症的病例。采用Dor技术对左心室进行动脉瘤切除术，以重塑左心室解剖结构。通过经房间隔途径进行二尖瓣环成形术。术后三个月，患儿心肌收缩力良好，无二尖瓣反流，射血分数正常。
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