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房间隔狭窄的左心发育不全综合征中的心房附件吻合术:一种新方法。

Atrial Appendage Anastomosis in Hypoplastic Left Heart Syndrome With Restrictive Atrial Septum: A Novel Approach.

作者信息

Nguyen Chau P, Tai Christiana P, Moon-Grady Anita J, Reddy V Mohan

机构信息

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.

出版信息

JACC Case Rep. 2022 Sep 7;4(17):1065-1069. doi: 10.1016/j.jaccas.2022.01.022.

Abstract

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. ().

摘要

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。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf7d/9481909/9ad8e278ebea/fx1.jpg

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