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我的做法:用于“揭示”和治疗先天性心脏病中先天性门体静脉连接的新技术。

How I do it: Novel technique to "Unmask" and treat congenital portosystemic venous connections in congenital heart disease.

作者信息

Batlivala Sarosh P, McGovern Eiméar, Goldstein Bryan H

机构信息

Department of Pediatrics, The Heart Institute, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Department of Pediatrics, University of Kentucky Health Care and Kentucky Children's Hospital, Lexington, KY, USA.

出版信息

Ann Pediatr Cardiol. 2022 Jul-Aug;15(4):394-398. doi: 10.4103/apc.apc_34_22. Epub 2023 Jan 6.

DOI:10.4103/apc.apc_34_22
PMID:36935837
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10015395/
Abstract

Congenital portosystemic venous connections are rare vascular anomalies that connect the portal and systemic venous circulations. These vascular lesions can lead to complex and varied physiologic manifestations in single-ventricle patients as they progress through the various stages of palliation in the Fontan pathway. Specifically, these connections may be unmasked after a superior cavopulmonary anastomosis operation, but then "re-masked" after Fontan completion. We describe the complex physiology with an illustrative case report and present a novel method to unmask these pathologic connections after Fontan completion to facilitate transcatheter occlusion and resolve downstream symptoms.

摘要

先天性门体静脉连接是一种罕见的血管异常,它连接门静脉和体静脉循环。这些血管病变在单心室患者沿着Fontan路径进行各个阶段的姑息治疗过程中,会导致复杂多样的生理表现。具体而言,这些连接可能在进行上腔静脉-肺动脉吻合术后显现出来,但在Fontan手术完成后又会“重新隐匿”。我们通过一个病例报告来说明这种复杂的生理情况,并提出一种新方法,在Fontan手术完成后揭示这些病理性连接,以便于经导管封堵并解决下游症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/0082b65b9e77/APC-15-394-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/4b6a5becfed2/APC-15-394-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/20c8443d212c/APC-15-394-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/33f12a3b3b12/APC-15-394-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/b7a2e7bcd1f2/APC-15-394-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/af789324f9aa/APC-15-394-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/09814b94389c/APC-15-394-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/0082b65b9e77/APC-15-394-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/4b6a5becfed2/APC-15-394-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/20c8443d212c/APC-15-394-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/33f12a3b3b12/APC-15-394-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/b7a2e7bcd1f2/APC-15-394-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/af789324f9aa/APC-15-394-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/09814b94389c/APC-15-394-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3710/10015395/0082b65b9e77/APC-15-394-g007.jpg

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本文引用的文献

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Spontaneous closure of arterio-venous pulmonary fistulas by redirection of hepatic venous blood 9 years after Glenn anastomosis in a 12-year-old girl.
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Account of Two Instances of Uncommon Formation in the Viscera of the Human Body: From the Philosophical Transactions of the Royal Society of London.人体内脏罕见构造的两个实例记述:源自《伦敦皇家学会哲学学报》
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Congenital portosystemic venous connections and other abdominal venous abnormalities in patients with polysplenia and functionally univentricular heart disease: a case series and literature review.多脾综合征和功能性单心室心脏病患者的先天性门体静脉连接及其他腹部静脉异常:病例系列报道与文献综述
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