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大动脉转位行 Mustard 手术后成功妊娠:来自发展中国家的罕见病例。

Successful completion of pregnancy after Mustard procedure for transposition of great arteries: a rare case from the developing world.

机构信息

Department of Pediatrics, Aga Khan University Hospital Karachi, Pakistan.

Department of Obstetrics and Gynecology Aga Khan Medical University, Karachi.

出版信息

J Pak Med Assoc. 2020 May;70(5):920-922. doi: 10.5455/JPMA.22875.

Abstract

Surgical repair of transposition of great arteries has undergone various evolutionary changes over the years. The initial of these treatment options was atrial septectomy followed by atrial switch and the current preferred treatment option is arterial switch operation worldwide. Due to various reasons, like lack of medical and surgical expertise atrial switch operation was commonly in practice in developing countries until few years back. Pregnancy in a patient with history of atrial switch operation poses a unique haemodynamic challenge. We report the case of a successful pregnancy in a 26 years old lady who had undergone Mustard repair surgery in the past in Pakistan.

摘要

多年来,大动脉转位的手术修复经历了各种演变。最初的治疗选择是房间隔切开术,随后是心房调转术,目前全球首选的治疗选择是动脉调转术。由于各种原因,如缺乏医疗和手术专业知识,心房调转术在发展中国家一直是常见的治疗方法,直到几年前。有过心房调转术病史的患者怀孕会带来独特的血液动力学挑战。我们报告了 1 例在巴基斯坦既往接受过 Mustard 修复手术的 26 岁女性成功妊娠的病例。

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