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大动脉转位矫正术后合并室间隔缺损、肺动脉狭窄及右位心的肺根部移位

Pulmonary root translocation in corrected transposition of great arteries with ventricular septal defect and pulmonary stenosis with dextrocardia.

作者信息

Arora Yatin, Devagourou Velayoudam, Adarsh Paidi, Kar Tanushree

机构信息

Department of Cardiovascular and Thoracic Surgery, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Card Surg. 2021 Feb;36(2):748-751. doi: 10.1111/jocs.15260. Epub 2020 Dec 16.

Abstract

We present 13 years old with history of cyanosis and diagnosis of congenitally corrected transposition of great arteries with ventricle septal defect and pulmonary stenosis with dextrocardia. He underwent modified Senning procedure with pulmonary root translocation. Postoperative recovery was uneventful and was extubated on postoperative day 1. Patient remained in sinus rhythm. Postoperative echocardiography showed good biventricular function with no baffle obstruction and mild pulmonary regurgitation with no significant left and right outflow tract obstruction. Patient was discharged on postoperative day 6 and remained asymptomatic on follow up at 3 months.

摘要

我们报告一名13岁患者,有发绀病史,诊断为先天性矫正型大动脉转位合并室间隔缺损和肺动脉狭窄伴右位心。他接受了改良森宁手术及肺动脉根部移位术。术后恢复顺利,术后第1天拔除气管插管。患者维持窦性心律。术后超声心动图显示双心室功能良好,无挡板梗阻,轻度肺动脉反流,无明显左右流出道梗阻。患者术后第6天出院,3个月随访时无症状。

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