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左心室发育不全:是否进行分隔?

Left ventricular hypoplasia: to septate or not?

作者信息

Jagannath Byalal Raghavendrarao

机构信息

Department of Pediatric Cardiac Surgery, Star Hospital, Banjara Hills, Hyderabad, India.

出版信息

Indian J Thorac Cardiovasc Surg. 2021 Jan;37(Suppl 1):111-122. doi: 10.1007/s12055-020-00995-0. Epub 2020 Oct 16.

DOI:10.1007/s12055-020-00995-0
PMID:33584028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7859120/
Abstract

When do we label a left ventricle as small? How is the decision made regarding suitability for a two-ventricle repair? Are dimensions the only criteria with which we decide, whether a ventricle will support the systemic circulation? Can we actually stimulate the growth of a borderline small left ventricle, so that it could support the systemic circulation in future? What role does mass and shape have to play in whether a borderline ventricle will support a biventricular repair? What role does the morphology and segmental anatomy play in this decision-making? This is a review article to address these issues.

摘要

我们何时将左心室判定为小?关于双心室修复的适用性是如何做出决策的?尺寸是我们决定一个心室是否能够支持体循环的唯一标准吗?我们真的能够刺激临界小左心室生长,使其在未来能够支持体循环吗?对于临界小心室是否支持双心室修复,心肌质量和形状起到什么作用?形态学和节段性解剖学在这一决策过程中扮演什么角色?这是一篇旨在探讨这些问题的综述文章。

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Left ventricular hypoplasia: to septate or not?左心室发育不全:是否进行分隔?
Indian J Thorac Cardiovasc Surg. 2021 Jan;37(Suppl 1):111-122. doi: 10.1007/s12055-020-00995-0. Epub 2020 Oct 16.
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本文引用的文献

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Staged ventricular recruitment in patients with borderline ventricles and large ventricular septal defects.分期心室招募术治疗边缘心室和大室间隔缺损患者。
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Long-term results of biventricular repair after initial Giessen hybrid approach for hypoplastic left heart variants.左心发育不良变异初始吉森杂交法后双心室修复的长期结果。
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Staged left ventricular recruitment after single-ventricle palliation in patients with borderline left heart hypoplasia.左心发育不良边缘患者行单心室姑息术后阶段性左心室招募。
J Am Coll Cardiol. 2012 Nov 6;60(19):1966-74. doi: 10.1016/j.jacc.2012.07.041. Epub 2012 Oct 10.
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Mitral and tricuspid valve repair and growth in unbalanced atrial ventricular canal defects.二尖瓣和三尖瓣修复和增长在非均衡性房室管缺损中。
J Thorac Cardiovasc Surg. 2012 Apr;143(4 Suppl):S29-32. doi: 10.1016/j.jtcvs.2011.10.031. Epub 2011 Dec 6.
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The nomenclature, definition and classification of hypoplastic left heart syndrome.左心发育不全综合征的命名、定义及分类
Cardiol Young. 2006 Aug;16(4):339-68. doi: 10.1017/S1047951106000291.
8
Validation and re-evaluation of a discriminant model predicting anatomic suitability for biventricular repair in neonates with aortic stenosis.预测主动脉狭窄新生儿双心室修复解剖学适宜性的判别模型的验证与重新评估
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