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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.

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/b91210352183/10.1177_2050313X20987449-fig1.jpg

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