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一名患有左心发育不全综合征的成人患者的Fontan转换术：一位38岁Norwood手术成功的病例

Fontan Conversion in an Adult With Hypoplastic Left Heart Syndrome: A 38-Year-Old Norwood Success.

作者信息

Said Sameh M, Mashadi Ali, Essa Yasin, Erb Markus

机构信息

Division of Pediatric and Adult Congenital Cardiac Surgery, Maria Fareri Children's Hospital and Westchester Medical Center, New York Medical College, Valhalla, New York, USA.

Division of Pediatric Cardiology, Boston Children's Health Physicians, Maria Fareri Children's Hospital, Valhalla, New York, USA.

出版信息

JACC Case Rep. 2024 Sep 4;29(17):102495. doi: 10.1016/j.jaccas.2024.102495.

DOI:10.1016/j.jaccas.2024.102495
PMID:39359497
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11442177/
Abstract

A 38-year-old man with a functional single ventricle secondary to hypoplastic left heart syndrome presented with exertional fatigue. His last palliation was an intra-atrial conduit Fontan procedure. Comprehensive evaluation showed elevated liver enzyme values and a small, calcified conduit. Successful conversion to a nonfenestrated extracardiac conduit Fontan was performed with normalization of his liver enzyme values.

摘要

一名38岁男性，因左心发育不全综合征继发功能性单心室，出现劳力性疲劳。他最近一次姑息手术是心房内管道Fontan手术。全面评估显示肝酶值升高，且有一个小的钙化管道。成功转换为非开窗心外管道Fontan手术，其肝酶值恢复正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/1e4a4f28d040/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/04ae0d656556/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/32b7985ea1db/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/0ec122b4347d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/09a88e56d5a2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/1e4a4f28d040/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/04ae0d656556/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/32b7985ea1db/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/0ec122b4347d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/09a88e56d5a2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13e/11442177/1e4a4f28d040/gr4.jpg

相似文献

1
Fontan Conversion in an Adult With Hypoplastic Left Heart Syndrome: A 38-Year-Old Norwood Success.一名患有左心发育不全综合征的成人患者的Fontan转换术：一位38岁Norwood手术成功的病例
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本文引用的文献

1
Fate of the Fontan connection: Mechanisms of stenosis and management.Fontan连接的转归：狭窄机制与处理
Congenit Heart Dis. 2019 Jul;14(4):571-581. doi: 10.1111/chd.12757. Epub 2019 Feb 25.
2
Liver Disease in Patients After the Fontan Operation.Fontan手术后患者的肝脏疾病
Am J Cardiol. 2016 Feb 1;117(3):456-60. doi: 10.1016/j.amjcard.2015.11.014. Epub 2015 Nov 18.
3
Fontan conversion: identifying the high-risk patient.Fontan 转换术：识别高危患者。
Ann Thorac Surg. 2014 Jun;97(6):2115-21; discussion 2121-2. doi: 10.1016/j.athoracsur.2014.01.083. Epub 2014 Apr 29.
4
Optimal conduit size of the extracardiac Fontan operation based on energy loss and flow stagnation.基于能量损失和血流停滞的心脏外Fontan手术的最佳管道尺寸
Ann Thorac Surg. 2009 Aug;88(2):565-72; discussion 572-3. doi: 10.1016/j.athoracsur.2009.04.109.