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大动脉转位矫正型合并右位心患者的心肺移植

Heart-lung transplant in congenitally corrected transposition of the great arteries and dextrocardia patient.

作者信息

El-Sayed Ahmed Magdy M, Thomas Mathew, Makey Ian A, Martin Archer K, Erasmus David B, Sareyyupoglu Basar, Landolfo Kevin P, Pham Si M

机构信息

Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USA.

Department of Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

出版信息

SAGE Open Med Case Rep. 2021 Feb 12;9:2050313X20987449. doi: 10.1177/2050313X20987449. eCollection 2021.

DOI:10.1177/2050313X20987449
PMID:33633862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7887666/
Abstract

A 53-year-old male patient was presented to our institution with the clinical picture of biventricular failure. The echocardiogram revealed congenitally corrected transposition of the great arteries, dextrocardia with situs solitus, atrioventricular discordance and ventriculoatrial discordance, severe systemic and mitral valves regurgitation, and severe pulmonary hypertension (mean pulmonary artery pressure: 51 mm Hg). He underwent heart-lung transplant. He was discharged on postoperative day 25 with left ventricular ejection fraction of 60%-65%, and with oxygen independency.

摘要

一名53岁男性患者因双心室衰竭的临床表现前来我院就诊。超声心动图显示先天性矫正型大动脉转位、右位心伴内脏正位、房室不一致和心室心房不一致、严重的体循环和二尖瓣反流以及严重的肺动脉高压(平均肺动脉压:51mmHg)。他接受了心肺移植。术后第25天出院,左心室射血分数为60%-65%,且无需吸氧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d108/7887666/db62003e15bf/10.1177_2050313X20987449-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d108/7887666/b91210352183/10.1177_2050313X20987449-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d108/7887666/db62003e15bf/10.1177_2050313X20987449-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d108/7887666/b91210352183/10.1177_2050313X20987449-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d108/7887666/db62003e15bf/10.1177_2050313X20987449-fig2.jpg

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本文引用的文献

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The Registry of the International Society for Heart and Lung Transplantation: Thirty-third Adult Lung and Heart-Lung Transplant Report-2016; Focus Theme: Primary Diagnostic Indications for Transplant.国际心肺移植学会登记处:2016年第33份成人肺移植和心肺联合移植报告;重点主题:移植的主要诊断指征
J Heart Lung Transplant. 2016 Oct;35(10):1170-1184. doi: 10.1016/j.healun.2016.09.001. Epub 2016 Sep 13.
2
State of the Art of Combined Heart-Lung Transplantation for Advanced Cardiac and Pulmonary Dysfunction.晚期心肺功能不全的心肺联合移植技术现状
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Heart-lung vs. double-lung transplantation for idiopathic pulmonary arterial hypertension.
特发性肺动脉高压的心肺移植与双肺移植对比
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The registry of the International Society for Heart and Lung Transplantation: thirty-first adult lung and heart-lung transplant report--2014; focus theme: retransplantation.国际心肺移植学会登记处:2014年第31次成人肺移植和心肺联合移植报告;重点主题:再次移植
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5
Should we perform bilateral-lung or heart–lung transplantation for patients with pulmonary hypertension?对于患有肺动脉高压的患者,我们应该进行双肺移植还是心肺移植?
Interact Cardiovasc Thorac Surg. 2013 Jul;17(1):166-70. doi: 10.1093/icvts/ivt111.
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Images in cardiology: congenitally corrected transposition of the great arteries with dextrocardia.心脏病学影像:矫正型大动脉转位合并右位心。
Clin Cardiol. 2006 Jan;29(1):44. doi: 10.1002/clc.4960290111.
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