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在腔肺吻合术后出现持续性胸腔积液时对天然肺血流进行器械封堵。

Device Occlusion of Native Pulmonary Blood Flow After Cavopulmonary Anastomosis With Persistent Pleural Effusions.

作者信息

Khan Sophia, Tarmahomed Abdulla, Jivanji Salim

机构信息

Alder Hey Children's Hospital, Liverpool, United Kingdom.

North West, North Wales, and Isle of Man Adult Congenital Heart Disease Network, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, United Kingdom.

出版信息

JACC Case Rep. 2022 Aug 3;4(15):924-928. doi: 10.1016/j.jaccas.2022.05.011.

DOI:10.1016/j.jaccas.2022.05.011
PMID:35935160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9350929/
Abstract

Native pulmonary tract flow after a cavopulmonary anastomosis may promote pulmonary artery growth but can lead to undesirable consequences. We report the case of a 17-month child with prolonged pleural effusions after cavopulmonary anastomosis in whom a ventricular septal defect occluder device was placed in the native right ventricular outflow tract. ().

摘要

腔肺吻合术后的天然肺循环血流可能促进肺动脉生长，但也可能导致不良后果。我们报告了一例17个月大的儿童，在腔肺吻合术后出现长期胸腔积液，该患儿在天然右心室流出道置入了室间隔缺损封堵器。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/cd3c9cba72e9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/c2ad1893e4fe/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/fb36e2a9c115/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/785697d67eaa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/0abfd682f01f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/cd3c9cba72e9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/c2ad1893e4fe/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/fb36e2a9c115/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/785697d67eaa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/0abfd682f01f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3e/9350929/cd3c9cba72e9/gr4.jpg

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本文引用的文献

1
Risk Factors and Long-Term Prognosis for Chylothorax After Total Cavopulmonary Connection in Children: A Retrospective Study From a Single Center.儿童全腔静脉肺动脉连接术后乳糜胸的危险因素及长期预后：一项单中心回顾性研究
Front Pediatr. 2021 Nov 18;9:744019. doi: 10.3389/fped.2021.744019. eCollection 2021.
2
Factors determining early outcomes after the bidirectional superior cavopulmonary anastomosis.决定双向腔肺吻合术后早期结局的因素
Indian J Thorac Cardiovasc Surg. 2018 Oct;34(4):457-467. doi: 10.1007/s12055-017-0571-5. Epub 2017 Aug 22.
3
Long-term results of additional pulmonary blood flow with bidirectional cavopulmonary shunt.
双向腔静脉肺动脉分流术增加肺血流量的长期效果。
J Cardiothorac Surg. 2020 Sep 29;15(1):279. doi: 10.1186/s13019-020-01335-4.
4
Hemolysis and its outcome following percutaneous closure of cardiac defects among children and adolescents: a prospective study.经皮心脏缺损封堵术后儿童和青少年的溶血及其结局：一项前瞻性研究。
Ital J Pediatr. 2019 Oct 18;45(1):128. doi: 10.1186/s13052-019-0728-5.
5
Closure of insufficient, native right ventricular outflow tract with AMPLATZER™ muscular ventricular septal defect occluder in a patient with tetralogy of Fallot post-Melody valve.在一名法洛四联症患者接受梅洛迪瓣膜植入术后，使用AMPLATZER™肌部室间隔缺损封堵器闭合右心室流出道不足的天然结构。
Ann Pediatr Cardiol. 2019 May-Aug;12(2):159-162. doi: 10.4103/apc.APC_76_18.
6
Is additional pulsatile pulmonary blood flow beneficial to patients with bidirectional Glenn?双向格林术式中增加肺血流搏动是否有益？
J Thorac Cardiovasc Surg. 2013 Feb;145(2):451-4. doi: 10.1016/j.jtcvs.2012.11.027.
7
Pleural effusions in children undergoing cardiac surgery.接受心脏手术的儿童中的胸腔积液
Ann Pediatr Cardiol. 2010 Jan;3(1):58-64. doi: 10.4103/0974-2069.64368.
8
Additional pulmonary blood flow has no adverse effect on outcome after bidirectional cavopulmonary anastomosis.额外的肺血流量对双向腔肺吻合术后的预后没有不良影响。
Ann Thorac Surg. 2005 Jan;79(1):29-36; discussion 36-7. doi: 10.1016/j.athoracsur.2004.06.002.
9
Does an additional source of pulmonary blood flow alter outcome after a bidirectional cavopulmonary shunt?
Circulation. 1995 Nov 1;92(9 Suppl):II240-4. doi: 10.1161/01.cir.92.9.240.