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犬窦静脉型房间隔缺损合并部分性肺静脉异位连接的手术矫正

Surgical correction for sinus venosus atrial septal defect with partial anomalous pulmonary venous connection in a dog.

作者信息

Mizuno T, Mizuno M, Harada K, Takano H, Shinoda A, Takahashi A, Mamada K, Takamura K, Chen A, Iwanaga K, Ono S, Uechi M

机构信息

JASMINE Veterinary Cardiovascular Medical Center, 2-7-3 Nakagawa, Tsuzuki, Yokohama, Kanagawa, 224-0001, Japan.

Tokyo Veterinary Cardiology Center, 8-19-12 Fukasawa, Setagaya-ku, Tokyo, 158-0081, Japan.

出版信息

J Vet Cardiol. 2020 Apr;28:23-30. doi: 10.1016/j.jvc.2020.01.006. Epub 2020 Feb 11.

Abstract

A 5-year-old male toy poodle was referred for corrective surgery of an atrial septal defect. A sinus venosus-type atrial septal defect (ASD) with partial anomalous venous connection, suspected pulmonary hypertension, and pulmonary edema was confirmed by radiography, echocardiography, and cardiac computed tomography. Thoracic radiographs showed right heart enlargement. Echocardiography revealed right atrial and ventricular dilatation with mild flattening of the interventricular septum. Left-to-right shunt flow through the ASD was observed on color Doppler examination. Surgical correction of the sinus venosus ASD with a partial anomalous pulmonary venous connection was performed under cardiopulmonary bypass. A follow-up evaluation at 1 year after surgery showed resolution of the right-sided volume overload and no evidence of recurrence of ASD. Complications were not observed. Our findings indicate that surgical correction under cardiopulmonary bypass is a valid treatment option for an ASD with a partial anomalous pulmonary venous connection.

摘要

一只5岁雄性玩具贵宾犬因房间隔缺损矫正手术前来就诊。经X线摄影、超声心动图和心脏计算机断层扫描确诊为静脉窦型房间隔缺损(ASD)伴部分肺静脉异位连接、疑似肺动脉高压和肺水肿。胸部X线片显示右心增大。超声心动图显示右心房和心室扩张,室间隔轻度扁平。彩色多普勒检查观察到经ASD的左向右分流。在体外循环下对静脉窦型ASD伴部分肺静脉异位连接进行了手术矫正。术后1年的随访评估显示右侧容量超负荷得到缓解,且无ASD复发迹象。未观察到并发症。我们的研究结果表明,体外循环下的手术矫正是治疗伴部分肺静脉异位连接的ASD的有效选择。

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