Rao Sruti, Stewart Robert D, Pettersson Gosta, Tan Carmela, Golz Suzanne, Komarlu Rukmini
Department of Pediatric Cardiology, Nemours Cardiac Center, AI. DuPont Hospital for Children, Wilmington, DE, USA.
Department of Pediatric Cardiology, Cleveland Clinic Children's Hospital, Cleveland, OH, USA.
World J Pediatr Congenit Heart Surg. 2020 Jan;11(1):123-126. doi: 10.1177/2150135119880547. Epub 2019 Nov 22.
Enlargement of the bulboventricular foramen (BVF) in double-inlet left ventricle or the ventricular septal defect (VSD) in tricuspid atresia with transposition of the great arteries is one approach for prevention or treatment of systemic ventricular outflow obstruction. Most often, BVF/VSD restriction is bypassed preemptively or addressed directly at the time of Glenn/Fontan procedures as part of staged univentricular palliation. We describe a patient who underwent enlargement of a restrictive VSD during Fontan completion and subsequently presented with an asymptomatic pseudoaneurysm of the right ventricle at the ventriculotomy site.
在双入口左心室中球室孔（BVF）扩大或在大动脉转位的三尖瓣闭锁中室间隔缺损（VSD）扩大是预防或治疗体循环心室流出道梗阻的一种方法。大多数情况下，作为单心室分期姑息治疗的一部分，在实施格林/Fontan手术时会预先绕过BVF/VSD狭窄或直接处理该问题。我们描述了一名患者，其在Fontan手术完成时接受了限制性VSD扩大术，随后在心室切开部位出现了右心室无症状假性动脉瘤。
