右肺动脉-左心房瘘：二十多年来七例的机构经验。
Right pulmonary artery-Left atrium fistula: An institutional experience of seven cases over two decades.
机构信息
Department of CardioThoracic and Vascular Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi, Andhra Pradesh, India.
出版信息
J Card Surg. 2022 Jun;37(6):1743-1748. doi: 10.1111/jocs.16437. Epub 2022 Mar 30.
BACKGROUND
We report a series of 7 patients of right pulmonary artery to left atrium fistula operated in our institute between 1998 and 2019.
AIM OF THE STUDY
To present a comprehensive management of right pulmonary artery to left atrium fistula in an organised manner with excellent results, even in adult population.
METHODS
Seven consecutive patients of RPA to LA fistula were investigated with appropriate diagnostic modalities and underwent successful surgical correction.
RESULTS
Post procedure the oxygen saturation improved to >95% in all the patients. There were no early or late post-operative deaths. All patients underwent TTE at every follow up.
CONCLUSION
Appropriate use of imaging techniques helps in exact diagnosis with anatomical delineation which decides the further line of management in relieving the symptoms and prevention of complications of the fistula.
背景
我们报告了 1998 年至 2019 年间在我院接受治疗的 7 例右肺动脉至左心房瘘患者。
目的
采用组织化的综合管理方法，成功治疗右肺动脉至左心房瘘，即使在成人患者中也能取得良好的效果。
方法
对 7 例连续的右肺动脉至左心房瘘患者进行了适当的诊断方式检查，并成功进行了手术矫正。
结果
术后所有患者的氧饱和度均提高至>95%。无早期或晚期术后死亡。所有患者在每次随访时都接受了 TTE。
结论
适当使用影像学技术有助于明确诊断并进行解剖学描绘，从而决定进一步的治疗方案，以缓解瘘管的症状和预防并发症。
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