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联合沃登与芥末手术治疗晚期出现的大动脉转位合并肺静脉连接异常及左心室退化

Combined Warden and Mustard procedure for late presenting transposition with anomalous pulmonary venous connections and regressed left ventricle.

作者信息

Subramaniam Ganapathy Krishnan, Gnanasekaran Pradeep, Sharma Dhruva, Shri Ramya, Chandrashekhar Anitha

机构信息

Institute of Heart and Lung Transplant and Mechanical Circulatory Support, MGM Healthcare, Chennai, Tamil Nadu, India.

Department of Cardiothoracic and Vascular Surgery, SMS Medical College and Attached Hospitals, Jaipur, Rajasthan, India.

出版信息

Ann Pediatr Cardiol. 2022 Jul-Aug;15(4):409-411. doi: 10.4103/apc.apc_152_21. Epub 2023 Jan 6.

DOI:10.4103/apc.apc_152_21
PMID:36935821
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10015401/
Abstract

The presence of systemic and pulmonary venous anomalies in late presenting transposition of great arteries (TGA) may make standard atrial switch procedures difficult, necessitating modification in the surgical procedure. We present a case report of a 13-year-old boy with a partial anomalous connection of right superior pulmonary vein with TGA and regressed left ventricle, where a combination of Warden procedure and Mustard procedure was used.

摘要

晚期出现的大动脉转位（TGA）合并体静脉和肺静脉异常，可能会使标准的心房调转手术变得困难，需要对手术过程进行调整。我们报告一例13岁男孩的病例，该男孩患有右上肺静脉部分异常连接合并TGA及左心室退化，术中采用了沃登手术和马斯塔德手术联合的方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e96/10015401/299f15c715aa/APC-15-409-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e96/10015401/fb9977f42ddb/APC-15-409-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e96/10015401/3e085727baaf/APC-15-409-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e96/10015401/299f15c715aa/APC-15-409-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e96/10015401/fb9977f42ddb/APC-15-409-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e96/10015401/3e085727baaf/APC-15-409-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e96/10015401/299f15c715aa/APC-15-409-g003.jpg

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本文引用的文献

1
Commentary: An important contribution to pediatric cardiac surgery in low- and middle-income countries.评论：对低收入和中等收入国家小儿心脏手术的一项重要贡献。
J Thorac Cardiovasc Surg. 2020 Jan;159(1):250. doi: 10.1016/j.jtcvs.2019.09.115. Epub 2019 Oct 4.
2
Revival and modification of the Mustard operation.改良式Mustard手术
J Thorac Cardiovasc Surg. 2020 Jan;159(1):241-249. doi: 10.1016/j.jtcvs.2019.03.027. Epub 2019 Mar 22.
3
Modified Warden Procedure Using the Concept of Senning Operation: Repair Without Any Patch.
采用森宁手术概念的改良沃登手术：无需补片修复。
Ann Thorac Surg. 2015 Nov;100(5):1917-9. doi: 10.1016/j.athoracsur.2015.04.116.
4
Transposition of the great arteries and sinus venosus defect with partially anomalous pulmonary venous return: physiological and anatomic considerations.大动脉转位合并静脉窦缺损及部分性肺静脉异位引流：生理与解剖学考量
Cardiol Young. 2015 Apr;25(4):787-9. doi: 10.1017/S104795111400105X. Epub 2014 Jun 6.
5
Transposition of great arteries and partial anomalous pulmonary venous drainage.大动脉转位和部分性肺静脉异位引流
Asian Cardiovasc Thorac Ann. 2013 Dec;21(6):713-6. doi: 10.1177/0218492312463217. Epub 2013 Jul 9.