常规完全性肺静脉异位连接手术后脱机失败：一种罕见的关联。

Dhanak Riddhi, Halder Vikram, Shah Ritesh, Mishra Amit, Kothari Shyam S

Department of Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat, India.

Department of Pediatric Cardiovascular and Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat, India.

Ann Pediatr Cardiol. 2023 Sep-Oct;16(5):367-369. doi: 10.4103/apc.apc_165_23. Epub 2024 Apr 1.

A 6-month-old infant was operated on for supracardiac total anomalous pulmonary venous connection (TAPVC) with usual anatomy. The vertical vein was ligated. Weaning from bypass was attempted twice but was unsuccessful. Coronary sinus atresia was suspected and identified on the opening of the right atrium. A smooth postoperative course occurred after unroofing the coronary sinus. Coronary sinus atresia should be remembered as an uncommon association with TAPVC.

一名6个月大的婴儿接受了手术，治疗具有常见解剖结构的心上型完全性肺静脉异位连接（TAPVC）。垂直静脉被结扎。尝试脱离体外循环两次，但均未成功。怀疑存在冠状静脉窦闭锁，并在右心房开口处得以确认。在冠状静脉窦开窗术后，患儿术后恢复顺利。冠状静脉窦闭锁应被视为TAPVC的一种罕见关联情况而予以铭记。