Department of Cardiovascular Surgery, Medicana International Hospital, Istanbul, Turkey.
Department of Cardiovascular Surgery, Biruni University School of Medicine, Istanbul, Turkey.
Cardiol Young. 2023 Sep;33(9):1787-1789. doi: 10.1017/S1047951123000914. Epub 2023 Apr 24.
Congenital mitral stenosis is a broad-spectrum pathology in which blood flow to the left ventricle is obstructed both functionally and anatomically. Hammock mitral valve, also known as anomalous mitral arcade, is a rare congenital anomaly particularly in infants and children. Hammock mitral valve may not be suitable for repair regarding the advanced dysplastic mitral valve structure. Aortopulmonary window is an unusual cardiac anomaly which is defined as a communication between the main pulmonary artery and the ascending aorta. As a result of the excessive left-to-right shunt, early intervention and surgical closure deemed mandatory to avoid development of severe pulmonary hypertension and its consequences. All patients with an aortopulmonary window necessitates prompt repair immediately. In this brief report, mitral valve replacement with a mechanical valve and repair of aortopulmonary window with a Dacron patch were performed simultaneously in a 5-month-old patient with a hammock mitral valve and accompanying aortopulmonary window.
先天性二尖瓣狭窄是一种广泛存在的病理学现象,其左心室的血流在功能和解剖学上都受到了阻塞。吊床二尖瓣,也称为异常二尖瓣弓,是一种罕见的先天性异常,特别是在婴儿和儿童中。由于二尖瓣结构发育不良,吊床二尖瓣可能不适合修复。主肺动脉窗是一种不常见的心脏畸形,定义为主肺动脉和升主动脉之间的沟通。由于大量的左向右分流,早期干预和手术关闭被认为是必要的,以避免严重的肺动脉高压及其后果。所有患有主肺动脉窗的患者都需要立即进行及时的修复。在这个简要的报告中,我们对一名 5 个月大的患有吊床二尖瓣和伴随主肺动脉窗的患者同时进行了机械二尖瓣置换和涤纶补丁修复主肺动脉窗的手术。