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新生儿发绀的罕见原因:右肺动脉与左心房之间的动静脉瘘及其治疗

A rare cause of cyanosis in newborns: arteriovenous fistula between the right pulmonary artery and the left atrium and its treatment.

作者信息

Yakut Kahraman, Varan Birgul, Ozkan Murat

机构信息

1Department of Pediatric Cardiology,Baskent University,Ankara,Turkey.

2Department of Cardiovascular Surgery,Baskent University,Ankara,Turkey.

出版信息

Cardiol Young. 2018 Apr;28(4):605-607. doi: 10.1017/S1047951117002669. Epub 2018 Jan 24.

Abstract

The formation of a fistula between the right pulmonary artery and the left atrium via a sac is a very rare cyanotic congenital cardiopulmonary defect. A fistula between the pulmonary artery and left atrium may cause cardiac failure in utero. It can safely be treated surgically and in selected cases closure can be performed with transcatheter insertion of a device. In this article, we present a case with a fistula between the right pulmonary artery and the left atrium that was considered unsuitable for transcatheter closure and was safely treated surgically.

摘要

经囊袋形成右肺动脉与左心房之间的瘘是一种非常罕见的青紫型先天性心肺缺陷。肺动脉与左心房之间的瘘可能在子宫内导致心力衰竭。它可以通过手术安全治疗,在某些选定的病例中,可通过经导管插入装置进行封堵。在本文中,我们介绍了一例右肺动脉与左心房之间的瘘病例,该病例被认为不适合经导管封堵,最终通过手术安全治愈。

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