Qilu Hospital of Shandong University, Jinan, China.
Heart Surg Forum. 2023 Mar 3;26(2):E156-E159. doi: 10.1532/hsf.5173.
A 37-year-old male patient with corrected transposition of great arteries (ccTGA) with cor triatriatum sinister (CTS), left superior vena cava, and atrial septal defects is reported in our case. None of these impacted the patient's growth or development, nor daily work until age 33. Later, the patient developed symptoms of obvious impaired heart function, which improved after medical treatment. However, the symptoms reappeared and gradually worsened two years later, and we decided to treat it with surgery. In this case, we selected tricuspid mechanical valve replacement, cor triatriatum correction, and atrial septal defect repair. During the follow-up of five years, the patient had no obvious symptoms, ECG did not change significantly from five years ago, and the cardiac color Doppler ultrasound showed RVEF 0.51.
本文报告了 1 例矫正型大动脉转位（ccTGA）合并左心房间隔缺损、三尖瓣隔瓣后纤维瓣及左上腔静脉的患者。这些异常并未影响患者的生长发育，亦未影响日常工作至 33 岁。此后，患者出现明显的心脏功能受损症状，经药物治疗后好转。但两年后，患者症状再次出现并逐渐加重，遂决定手术治疗。本例患者行三尖瓣机械瓣置换、三房心矫治及房间隔缺损修补术。术后随访 5 年，患者无明显不适，心电图较 5 年前无明显变化，心脏彩色多普勒超声提示右心室射血分数 0.51。
