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20岁患者部分房室通道缺损的微创外科修复——病例报告及文献综述

Minimally Invasive Surgical Repair of a Partial Atrioventricular Canal Defect in a 20-Year-Old Patient-A Case Report and Review of Literature.

作者信息

Moldovan Horațiu, Bulescu Cristian, Cacoveanu Mihai, Voica Cristian, Safta Sabina, Goicea Mihai, Dobra Irina, Antoniac Iulian, Gheorghiță Daniela, Zaharia Ondin

机构信息

Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Cardiovascular Surgery, Emergency Clinical Hospital Bucharest, 014461 Bucharest, Romania.

出版信息

J Cardiovasc Dev Dis. 2022 Oct 14;9(10):352. doi: 10.3390/jcdd9100352.

Abstract

The association of an ostium primum-type defect with a cleft anterior mitral valve is known in the medical literature as the partial form of an atrioventricular canal. We present a case report about a 20-year-old woman with minimal symptomatology that discovered her pathology on routine echocardiography. Today, surgical operation remains the gold standard in such pathologies, especially mandatory when there is important valvular regurgitation and left-to-right shunt. Currently living in the era of fast and good cosmetic outcomes, minimally invasive and endovascular approaches should be developed and more often practiced. This scientific presentation is the first step in showing our department steps in performing minimally invasive surgeries as a routine.

摘要

医学文献中,原发孔型缺损合并二尖瓣前叶裂被称为房室管的部分型。我们报告一例20岁女性病例,其症状轻微,在常规超声心动图检查时发现病变。如今,手术仍是此类病变的金标准,尤其是在存在严重瓣膜反流和左向右分流时更是必不可少。当前处于追求快速且美观效果的时代,应开发并更多地采用微创和血管内治疗方法。本学术报告是展示我们科室将微创手术作为常规操作步骤的第一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/9604241/4c318cf7c706/jcdd-09-00352-g001.jpg

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