Kawachi H, Wada Y, Kawai T, Ito M, Oga K, Oka T
Nihon Kyobu Geka Gakkai Zasshi. 1989 Dec;37(12):2558-62.
A case of six-month old female with pulmonary venous obstruction (PVO) following surgical repair of total anomalous pulmonary venous return (TAPVR) is reported. A digital subtraction angiography (DSA) performed at 9 days after birth showed a supracardiac type of TAPVR (Darling Ia) with pulmonary venous stenosis and pulmonary hypertension. On the following day she underwent a corrective operation through posterior approach. The anastomosis between common pulmonary venous chamber and left atrium had released the pulmonary venous stenosis. Nevertheless, the pulmonary hypertension progressed after the operation. Five months later a cardiac catheterization data showed PVO. Six months after the first operation she underwent a corrective re-operation for release from the PVO using EPTFE (expanded polytetrafluoroethylene) patch. Postoperatively the symptoms caused by PVO and pulmonary hypertension were markedly improved.
报告了一例六个月大的女性，在完全性肺静脉异位引流（TAPVR）手术修复后出现肺静脉梗阻（PVO）。出生后9天进行的数字减影血管造影（DSA）显示心上型TAPVR（达林Ia型）伴有肺静脉狭窄和肺动脉高压。次日，她通过后路进行了矫正手术。共同肺静脉腔与左心房之间的吻合术解除了肺静脉狭窄。然而，术后肺动脉高压仍在进展。五个月后，心脏导管检查数据显示存在PVO。首次手术后六个月，她接受了再次矫正手术，使用膨体聚四氟乙烯（EPTFE）补片解除PVO。术后，由PVO和肺动脉高压引起的症状明显改善。
