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鲁登巴赫综合征合并部分性肺静脉异常连接及三尖瓣反流的外科完全矫正术。

Total surgical correction of Lutembacher syndrome associated with partial anomalous connection of the pulmonary veins and tricuspid regurgitation.

作者信息

Pomerantzeff Pablo Ma, Bichuette Luciana D, Veronese Elinthon T, Rodrigues Renan C, Spina Guilherme S, Jatene Fabio B

机构信息

Instituto do Coração, do Hospital das Clínicas, da Faculdade de Medicina, da Universidade de São Paulo Brazil.

出版信息

Am J Cardiovasc Dis. 2021 Aug 15;11(4):499-503. eCollection 2021.

Abstract

Lutembacher syndrome is characterized by the association of mitral stenosis and atrial septal defect (ASD), usually of the ostium secundum type. The association between superior vena cava-type ASD and partial anomalous pulmonary venous connection is unusual and there are few descriptions in the literature. We report this condition in a 24-year-old woman who was admitted to the hospital with a 1-year history of progressive dyspnea and describe the successful surgical repair following mitral commissurotomy and tunneling of the anomalous pulmonary veins to the left atrium, which determines the closure of the ASD and tricuspid repair.

摘要

鲁腾巴赫综合征的特征是二尖瓣狭窄与房间隔缺损(ASD)并存,通常为继发孔型。上腔静脉型ASD与部分性肺静脉异位连接之间的关联并不常见,文献中对此描述较少。我们报告了一名24岁女性患者的这种情况,她因进行性呼吸困难1年入院,并描述了在二尖瓣交界切开术以及将异常肺静脉经隧道引流入左心房后成功进行手术修复的过程,这一过程实现了ASD的闭合和三尖瓣修复。

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Lutembacher's syndrome: Is the mitral pathology always rheumatic?鲁登巴赫综合征:二尖瓣病变总是风湿性的吗?
Indian Heart J. 2017 Jan-Feb;69(1):20-23. doi: 10.1016/j.ihj.2016.07.003. Epub 2016 Jul 9.
5
Partial anomalous pulmonary venous connection associated with Lutembacher's syndrome.部分性肺静脉异位连接合并鲁登巴赫综合征
Echocardiography. 2008 Apr;25(4):436-9. doi: 10.1111/j.1540-8175.2007.00605.x. Epub 2008 Jan 3.

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