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关注右心室:处理合并脐膨出的左心室憩室中的右心功能障碍。

Mind the right ventricle: Tackling right heart dysfunction in left ventricular diverticulum with omphalocele.

作者信息

Gokhale Pavana, Mital Tanya, Reddy Pradeep R, Kapoor Poonam Malhotra

机构信息

Department of Cardiac Anaesthesia and Critical Care, Cardiothoracic and Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.

Department of Cardiothoracic and Vascular Surgery, Cardiothoracic and Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Clin Imaging Sci. 2025 Aug 5;15:29. doi: 10.25259/JCIS_161_2024. eCollection 2025.

DOI:10.25259/JCIS_161_2024
PMID:40837599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12361658/
Abstract

Left ventricular diverticulum (LVD) is a rare congenital anomaly characterized by an abnormal outpouching of the left ventricular wall. It is often identified during childhood, as it is commonly associated with midline thoracoabdominal defects and other congenital heart abnormalities. Here, we present a 10-month-old boy with a LVD and omphalocele posted for surgical management who had difficulty weaning in the post-operative period. We discuss the unique challenges that necessitate meticulous planning and execution to optimize right ventricular function and prevent pulmonary arterial hypertension in such patients.

摘要

左心室憩室(LVD)是一种罕见的先天性异常,其特征为左心室壁出现异常的袋状突出。它常在儿童期被发现,因为它通常与胸腹部中线缺损及其他先天性心脏异常相关。在此,我们报告一名10个月大患有左心室憩室和脐膨出的男孩,其接受手术治疗后在术后脱机过程中遇到困难。我们讨论了在此类患者中为优化右心室功能和预防肺动脉高压而需要精心规划和实施的独特挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/cbb13b3d84b4/JCIS-15-29-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/2591b9ddf8a9/JCIS-15-29-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/f0b94b79ce9f/JCIS-15-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/529e1d6f45a9/JCIS-15-29-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/583dc0dd4700/JCIS-15-29-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/2f531a5da56f/JCIS-15-29-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/c2ca1a3609d0/JCIS-15-29-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/6b8ccb0db445/JCIS-15-29-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/cbb13b3d84b4/JCIS-15-29-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/2591b9ddf8a9/JCIS-15-29-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/f0b94b79ce9f/JCIS-15-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/529e1d6f45a9/JCIS-15-29-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/583dc0dd4700/JCIS-15-29-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/2f531a5da56f/JCIS-15-29-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/c2ca1a3609d0/JCIS-15-29-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/6b8ccb0db445/JCIS-15-29-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8587/12361658/cbb13b3d84b4/JCIS-15-29-g008.jpg

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本文引用的文献

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Omphalocele and Cardiac Abnormalities-The Importance of the Association.脐膨出与心脏异常——关联的重要性
Diagnostics (Basel). 2023 Apr 14;13(8):1413. doi: 10.3390/diagnostics13081413.
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Right Ventricular Enlargement and Dysfunction Are Associated With Increased All-Cause Mortality in Hypertrophic Cardiomyopathy.右心室扩大和功能障碍与肥厚型心肌病的全因死亡率增加相关。
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Partial resection of large congenital left ventricular diverticulum in an infant: a case report.婴儿先天性左心室大憩室部分切除术:一例报告
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Cardiol Young. 2002 Jan;12(1):71-4. doi: 10.1017/s1047951102000148.