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与完全性房室间隔缺损相关的共同动脉干的分期修复

Staged Repair of Truncus Arteriosus Associated with Complete Atrioventricular Septal Defect.

作者信息

Lim Mi Hee, Sung Si Chan, Kim Hyung Tae, Choi Kwang Ho, Lee Hyoung Doo, Kim Geena

机构信息

Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital.

Department of Pediatric Cardiology, Pusan National University Yangsan Hospital, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital.

出版信息

Korean J Thorac Cardiovasc Surg. 2018 Oct;51(5):356-359. doi: 10.5090/kjtcs.2018.51.5.356. Epub 2018 Oct 5.

DOI:10.5090/kjtcs.2018.51.5.356
PMID:30402397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6200167/
Abstract

We report a case of successful repair of truncus arteriosus (TA) associated with complete atrioventricular septal defect (c-AVSD) using a staged approach. TA associated with c-AVSD is a very rare congenital cardiac anomaly. No report of successful staged repair in South Korea has yet been published. We performed bilateral pulmonary artery banding when the patient was 33 days old, and total correction using an extracardiac conduit was performed at the age of 18 months. The patient recovered uneventfully and is doing well.

摘要

我们报告了一例采用分期手术成功修复与完全性房室间隔缺损(c-AVSD)相关的动脉干(TA)的病例。与c-AVSD相关的TA是一种非常罕见的先天性心脏异常。韩国尚未有成功分期修复的报道。患者33日龄时进行了双侧肺动脉环扎术,18个月大时使用心外管道进行了完全矫正。患者恢复顺利,情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a9d/6200167/a475dfa405e5/kjtcv-51-356f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a9d/6200167/0d94aa56d2b1/kjtcv-51-356f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a9d/6200167/a475dfa405e5/kjtcv-51-356f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a9d/6200167/0d94aa56d2b1/kjtcv-51-356f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a9d/6200167/a475dfa405e5/kjtcv-51-356f2.jpg

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本文引用的文献

1
Truncus arteriosus and unbalanced complete atrioventricular septal defect: pulmonary protection in the neonate.动脉干和不平衡型完全性房室间隔缺损:新生儿的肺保护。
Ann Thorac Surg. 2012 Dec;94(6):e151-3. doi: 10.1016/j.athoracsur.2012.05.113.
2
Surgical management of complete atrioventricular septal defect: associations with surgical technique, age, and trisomy 21.完全性房室间隔缺损的手术治疗:与手术技术、年龄和 21 三体的相关性。
J Thorac Cardiovasc Surg. 2011 Jun;141(6):1371-9. doi: 10.1016/j.jtcvs.2010.08.093. Epub 2010 Dec 15.
3
Common arterial trunk with atrioventricular septal defect: new observations pertinent to repair.
共同动脉干合并房室间隔缺损:与修复相关的新观察结果
Ann Thorac Surg. 2009 May;87(5):1495-9. doi: 10.1016/j.athoracsur.2009.02.043.
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One-stage repair of truncus arteriosus, CAVC, and TAPVC.共同动脉干、完全性房室通道及完全性肺静脉异位引流的一期修复术。
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Repair of truncus arteriosus and complete atrioventricular canal defect.动脉干及完全性房室通道缺损修补术
J Thorac Cardiovasc Surg. 1994 Aug;108(2):385-7.