病例报告：非体外循环冠状动脉搭桥术中，经房间隔缺损的血流术中逆转导致低氧血症。
Case report: Intraoperative reversal of flow through an atrial septal defect presenting as hypoxemia during off-pump coronary artery bypass grafting.
作者信息
Zhao Yun, Mi Chaorui, Xie Juan, Li Hui
机构信息
Department of Anesthesiology, The Second Xiangya Hospital, Central South University, Changsha, China.
Department of Academic Affairs, The Second Xiangya Hospital, Central South University, Changsha, China.
出版信息
Front Cardiovasc Med. 2023 Jul 31;10:1085755. doi: 10.3389/fcvm.2023.1085755. eCollection 2023.
The co-existence of atrial septal defect and coronary artery disease in a patient is rare in clinical practice. In the combined surgery of off-pump coronary artery bypass grafting and atrial septal defect closure, the unusual cardiac positions may affect the direction of blood shunting between the atriums, leading to more complex hemodynamic changes. Here, we report a case of a 67-year-old female who underwent refractory hypoxemia related to heart position in such a combined operation.
在临床实践中，患者同时存在房间隔缺损和冠状动脉疾病的情况较为罕见。在非体外循环冠状动脉搭桥术和房间隔缺损封堵联合手术中，心脏位置异常可能会影响心房之间的血液分流方向，导致更复杂的血流动力学变化。在此，我们报告一例67岁女性患者，在这种联合手术中因心脏位置问题出现难治性低氧血症。
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