Nguyen Chau P, Tai Christiana P, Moon-Grady Anita J, Reddy V Mohan
Department of Graduate Medical Education, UCSF Benioff Children's Hospital Oakland, Oakland, California, USA.
Department of Pediatric Cardiology, UCSF Benioff Children's Hospitals, San Francisco, California, USA.
JACC Case Rep. 2022 Sep 7;4(17):1065-1069. doi: 10.1016/j.jaccas.2022.01.022.
Intact atrial septum (IAS), occurring in ∼10% of patients with hypoplastic left heart syndrome (HLHS), conveys significant neonatal morbidity and mortality. Perinatal interventions have been described, but outcomes remain poor. We present a fetus with HLHS with IAS who underwent immediate novel postnatal atrial appendage anastomosis, thus achieving rapid left atrial decompression. ().
完整的房间隔（IAS）见于约10%的左心发育不全综合征（HLHS）患者，会导致显著的新生儿发病和死亡。围产期干预措施已有报道，但预后仍然不佳。我们报告一例患有HLHS合并IAS的胎儿，其出生后立即接受了新型心房附件吻合术，从而实现了左心房的快速减压。（）
