Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Ann Thorac Surg. 2022 Jul;114(1):e9-e11. doi: 10.1016/j.athoracsur.2021.09.074. Epub 2021 Nov 13.
An atrial switch operation was successfully performed in an 11-month-old patient with transposition of the great arteries. Good cardiac function was noted on regular follow-ups. A severe inferior vena cava baffle stenosis was detected after a ruptured hepatocellular carcinoma at the age of 39 years. Liver cirrhosis and hepatocellular carcinoma could have been associated with liver congestion resulting from the stenosis. After partial hepatectomy, inferior vena cava-to-superior vena cava bypass was performed without cardiopulmonary bypass. The patient's postoperative course was uneventful, liver enzyme levels decreased to normal limits, and distant recurrence of hepatocellular carcinoma has not been observed.
一名 11 个月大的完全性大动脉转位患者成功接受了心房调转手术。定期随访显示心脏功能良好。39 岁时患者因肝癌破裂发现下腔静脉隔狭窄非常严重。肝硬化和肝细胞癌可能与狭窄导致的肝充血有关。行部分肝切除术后，在无体外循环的情况下进行了下腔静脉-上腔静脉旁路术。患者术后恢复顺利，肝酶水平降至正常范围，且未观察到肝细胞癌的远处复发。
