Kojqiqi Fatos, Kojqiqi Arben, Jusufi Ismet, Kojcici Besnik
Department of Cardiosurgery, American Hospital Kosovo, Prishtina, Kosovo.
Department of Cardiosurgery, American Hospital 3, Tirana, Albania.
Thorac Cardiovasc Surg Rep. 2020 Jan;9(1):e4-e8. doi: 10.1055/s-0039-3402765. Epub 2020 Feb 25.
A single atrium is a very rare heart condition, in which the inter atrial septum is missing. These congenital heart defects usually are surgically corrected after birth. We present a successful surgical repair of a single atrium (SA) in a 27-year-old woman, who has a complete missing of the atrial septum, without coexisting valvular pathology. The SA diameter was 9.97 × 6.18 cm and the Systemic blood flow/pulmonary blood flow (Qp/Qs) was 4.1 due to the single atrium. Surgical correction consisted of creating a new atrial septum, using a double-velor patch. At first- and second-year follow up, the patient was in a very good condition and without any symptoms present. We consider that the diagnoses of single atrium, especially in child bearing women, should be done in appropriate time, to avoid miscarriages, preterm births and other complications associated. There are many case reports that show good surgical repair of single atrium and without late complications. In our case, we have obtained a very good surgical repair, without AV bundle damage and no residual shunt demonstrated on intraoperative transesophageal echocardiography.
单心房是一种非常罕见的心脏疾病，其房间隔缺失。这些先天性心脏缺陷通常在出生后通过手术矫正。我们报告了一例27岁女性单心房（SA）的成功手术修复病例，该患者房间隔完全缺失，且不存在合并瓣膜病变。由于单心房，SA直径为9.97×6.18厘米，体循环血流量/肺循环血流量（Qp/Qs）为4.1。手术矫正包括使用双层补片创建一个新的房间隔。在第一年和第二年的随访中，患者状况良好，无任何症状。我们认为，单心房的诊断，尤其是在育龄妇女中，应在适当的时候进行，以避免流产、早产和其他相关并发症。有许多病例报告显示单心房手术修复良好且无晚期并发症。在我们的病例中，我们获得了非常好的手术修复效果，术中经食管超声心动图未显示房室束损伤和残余分流。
