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右心房异构Fontan手术后发绀的罕见原因。

An Unusual Cause of Cyanosis after Fontan Procedure in Right Atrial Isomerism.

作者信息

Yu Clement Kwong-Man, Chan Kwok-Lap, Rocha Barnabe Antonio, Ng Carol Wing-Kei, Cheung Yiu-Fai

机构信息

Department of Paediatrics and Adolescent Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong, People's Republic of China.

Paediatric Cardiothoracic Surgery Unit, Hong Kong Children's Hospital, Hong Kong, People's Republic of China.

出版信息

CASE (Phila). 2021 Dec 14;6(2):50-54. doi: 10.1016/j.case.2021.11.002. eCollection 2022 Apr.

DOI:10.1016/j.case.2021.11.002
PMID:35492294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9050578/
Abstract

• Persistent or worsening cyanosis after Fontan procedure deserves thorough evaluation. • Right-to-left shunt through hepatic vein communication in right atrial isomerism is reported. • Detailed delineation of hepatic venous drainage is essential in pre-Fontan assessment.

摘要

• 方坦手术后持续或加重的发绀值得进行全面评估。

• 据报道，右心房异构时可通过肝静脉交通出现右向左分流。

• 在方坦手术前评估中，详细描绘肝静脉引流至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/134c8e0948da/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/535318ecf44b/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/1411318df3a5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/f1fc2f6183e8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/679fbf2687f5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/134c8e0948da/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/535318ecf44b/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/1411318df3a5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/f1fc2f6183e8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/679fbf2687f5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff55/9050578/134c8e0948da/gr4.jpg

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本文引用的文献

1
Saline Contrast Transesophageal Echocardiography in Fontan Patients: Assessment of the Presence, Type, and Size of Right to Left Shunts.生理盐水对比剂经食管超声心动图在Fontan手术患者中的应用：评估右向左分流的存在、类型及大小
Pediatr Cardiol. 2019 Aug;40(6):1199-1207. doi: 10.1007/s00246-019-02132-0. Epub 2019 Jun 19.
2
Disharmonious Patterns of Heterotaxy and Isomerism: How Often Are the Classic Patterns Breached?异构和同形同构的不协调模式：经典模式被打破的频率有多高？
Circ Cardiovasc Imaging. 2018 Feb;11(2):e006917. doi: 10.1161/CIRCIMAGING.117.006917.
3
Laterality defects in the national birth defects prevention study (1998-2007): birth prevalence and descriptive epidemiology.
国家出生缺陷预防研究（1998 - 2007年）中的身体不对称缺陷：出生患病率及描述性流行病学
Am J Med Genet A. 2014 Oct;164A(10):2581-91. doi: 10.1002/ajmg.a.36695. Epub 2014 Aug 6.
4
Improving outcomes of the surgical management of right atrial isomerism.改善右房异构的手术治疗结果。
Ann Thorac Surg. 2012 Mar;93(3):832-8; discussion 838-9. doi: 10.1016/j.athoracsur.2011.05.110. Epub 2011 Nov 23.
5
Fontan completion in patients with atrial isomerism and separate hepatic venous drainage.房间隔异构伴肝静脉独立引流患者的 Fontan 术完成情况。
Eur J Cardiothorac Surg. 2010 Jun;37(6):1264-70. doi: 10.1016/j.ejcts.2009.12.026. Epub 2010 Feb 6.
6
The nomenclature, definition and classification of cardiac structures in the setting of heterotaxy.心脏结构在脏器异位情况下的命名、定义及分类
Cardiol Young. 2007 Sep;17 Suppl 2:1-28. doi: 10.1017/S1047951107001138.
7
Intrahepatic right-to-left shunting after the Fontan operation.
Cardiol Young. 2002 May;12(3):308-10. doi: 10.1017/s1047951102000689.
8
Outcome of infants with right atrial isomerism: is prognosis better with normal pulmonary venous drainage?右心房异构婴儿的预后：正常肺静脉引流时预后是否更好？
Heart. 2002 Feb;87(2):146-52. doi: 10.1136/heart.87.2.146.
9
Improving outcomes of the Fontan operation in children with atrial isomerism and heterotaxy syndromes.改善心房异构和内脏异位综合征患儿Fontan手术的治疗效果。
Ann Thorac Surg. 2001 Nov;72(5):1636-40. doi: 10.1016/s0003-4975(01)03039-9.
10
Transcatheter occlusion of a post-Fontan residual hepatic vein to pulmonary venous atrium communication using the Amplatzer septal occluder.使用Amplatzer房间隔封堵器经导管封堵Fontan术后残留肝静脉至肺静脉心房分流。
Heart. 1998 Jun;79(6):624-6. doi: 10.1136/hrt.79.6.624.