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一名患有先天性矫正型大动脉转位且体循环心室未经训练的患者进行紧急双调转手术。

Urgent double switch operation in a patient with congenitally corrected transposition of great arteries and an untrained systemic ventricle.

作者信息

Bilal Mehmet Salih, Özyüksel Arda, Avşar Mustafa Kemal, Yıldırım Özgür

机构信息

Department of Cardiovascular Surgery, Medicana International Istanbul Hospital, Istanbul, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Jan 23;28(1):197-200. doi: 10.5606/tgkdc.dergisi.2020.18109. eCollection 2020 Jan.

Abstract

Congenitally corrected transposition of the great arteries is a rare cardiac abnormality. A nine-month-old male infant with the diagnosis of congenitally corrected transposition of the great arteries was admitted to our clinic with a history of pulmonary artery banding to train the left ventricle three months ago. On admission, he presented with bronchopneumonia, cyanosis, dyspnea, and severe biventricular heart failure associated with significant valvular regurgitation. An urgent double switch operation was performed with atrial and arterial switch procedures. Eight days of mechanical circulatory support was deemed mandatory following surgery. The patient is still under follow-up uneventfully three years after the operation.

摘要

先天性矫正型大动脉转位是一种罕见的心脏异常。一名诊断为先天性矫正型大动脉转位的9个月男婴三个月前因肺动脉环扎术以训练左心室的病史入住我们的诊所。入院时,他出现支气管肺炎、发绀、呼吸困难以及与严重瓣膜反流相关的严重双心室心力衰竭。紧急进行了心房和动脉转换的双转换手术。术后认为必须进行8天的机械循环支持。术后三年患者仍在接受随访,情况平稳。

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