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儿童期弯刀综合征合并左肺动脉高压及右肺动脉狭窄——1例手术成功修复病例报告

[Scimitar syndrome with left pulmonary hypertension and right pulmonary artery stenosis in childhood--report of a case of successful surgical repair].

作者信息

Fujita Y, Yoshimura T, Miyamura H, Kanazawa H, Imaizumi K, Takahashi Y, Fukuda J, Aono T, Eguchi S

出版信息

Kyobu Geka. 1989 Apr;42(4):334-8.

PMID:2770073
Abstract

An one-year old child with Scimitar syndrome (anomalous drainage of the right pulmonary vein to inferior vena cava with right lung hypoplasia) associated with left side pulmonary hypertension and right pulmonary artery stenosis underwent surgical repair. The anomalous pulmonary vein was anastomosed to right atrium with 10 mm PTFE graft interposition and drained to left atrium through equine pericardial intra-atrial baffle. The stenotic portion of right pulmonary artery was enlarged with porcine pericardial patch. To our knowledge, this is the first successful surgical case of Scimitar syndrome with pulmonary hypertension in childhood reported in literature. A repair of anomalous pulmonary venous drainage to inferior vena cava in childhood is difficult, and a meticulous selection of surgical procedure is necessary.

摘要

一名患有弯刀综合征(右肺静脉异常引流至下腔静脉伴右肺发育不全)并伴有左侧肺动脉高压和右肺动脉狭窄的1岁儿童接受了手术修复。异常肺静脉通过10毫米聚四氟乙烯移植物吻合至右心房,并通过马心包房间隔挡板引流至左心房。右肺动脉狭窄部分用猪心包补片扩大。据我们所知,这是文献报道的首例儿童弯刀综合征合并肺动脉高压的成功手术病例。儿童期将异常肺静脉引流至下腔静脉的修复手术难度较大,因此必须精心选择手术方式。

相似文献

1
[Scimitar syndrome with left pulmonary hypertension and right pulmonary artery stenosis in childhood--report of a case of successful surgical repair].儿童期弯刀综合征合并左肺动脉高压及右肺动脉狭窄——1例手术成功修复病例报告
Kyobu Geka. 1989 Apr;42(4):334-8.
2
[A case report of scimitar syndrome: a new technique in the correction of partial anomalous pulmonary venous drainage].[弯刀综合征病例报告:部分性肺静脉异位引流矫正新技术]
Kyobu Geka. 1994 Aug;47(9):776-9.
3
Surgical management of scimitar syndrome: an alternative approach.弯刀综合征的外科治疗:一种替代方法。
J Thorac Cardiovasc Surg. 2003 Feb;125(2):238-45. doi: 10.1067/mtc.2003.113.
4
[Case report of scimitar syndrome in infancy: intracardiac repair after coil embolization of systemic arterial supply to sequestered lung].
Kyobu Geka. 2001 Sep;54(10):875-9.
5
[Scimitar syndrome complicated by stenosis of the right pulmonary vein. Apropos of 4 cases].[弯刀综合征合并右肺静脉狭窄。附4例报告]
Arch Mal Coeur Vaiss. 1994 May;87(5):607-13.
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Outcomes after surgical treatment of children with partial anomalous pulmonary venous connection.部分性肺静脉异位连接患儿手术治疗后的结果
Ann Thorac Surg. 2007 Dec;84(6):2020-6; discussion 2020-6. doi: 10.1016/j.athoracsur.2007.05.046.
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Association of a Cor Triatriatum Sinister and a right partial anomalous pulmonary venous return. A case report.左三房心合并右肺静脉部分异位引流。病例报告。
Acta Chir Belg. 2005 Apr;105(2):217-8.
8
[Surgical repair of scimitar syndrome by direct anastomosis between right pulmonary vein and left atrium].[通过右肺静脉与左心房直接吻合术治疗弯刀综合征的手术修复]
Nihon Kyobu Geka Gakkai Zasshi. 1989 Nov;37(11):2429-33.
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[A case of partial anomalous pulmonary venous return to inferior vena cava and left atrium (Scimitar syndrome)].[一例部分性肺静脉异常回流至下腔静脉及左心房(镰刀综合征)]
Nihon Kyobu Geka Gakkai Zasshi. 1994 Jan;42(1):144-9.
10
Late "adult form" scimitar syndrome presenting with "infant form" complications.表现为“婴儿型”并发症的晚期“成人型”弯刀综合征
J Invasive Cardiol. 2006 Feb;18(2):E82-5.