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左心发育不全综合征:姑息性手术经验

Hypoplastic left heart syndrome: experience with palliative surgery.

作者信息

Norwood W I, Kirklin J K, Sanders S P

出版信息

Am J Cardiol. 1980 Jan;45(1):87-91. doi: 10.1016/0002-9149(80)90224-6.

DOI:10.1016/0002-9149(80)90224-6
PMID:6153137
Abstract

Aortic atresia is a form of hypoplastic left heart syndrome always complicated by associated severe hypoplasia of the ascending aorta and various degrees of mitral valve and left ventricular hypoplasia. At present it is a universally fatal lesion in early infancy. This is a report of a new palliative procedure for hypoplastic left heart syndrome that has resul;ed in early ongoing survival of two infants with aortic atresia. On the basis of experience with a third patient, an operation for future physiologic correction is proposed.

摘要

主动脉闭锁是左心发育不全综合征的一种形式,常伴有升主动脉严重发育不全以及不同程度的二尖瓣和左心室发育不全。目前,这是一种在婴儿早期普遍致命的病变。本文报告了一种针对左心发育不全综合征的新姑息性手术,该手术使两名患有主动脉闭锁的婴儿早期得以存活。基于对第三名患者的经验,提出了一种未来进行生理性矫正的手术方案。

相似文献

1
Hypoplastic left heart syndrome: experience with palliative surgery.左心发育不全综合征:姑息性手术经验
Am J Cardiol. 1980 Jan;45(1):87-91. doi: 10.1016/0002-9149(80)90224-6.
2
Hypoplastic left heart syndrome: a simplified palliative operation.左心发育不全综合征:一种简化的姑息性手术。
Ann Thorac Surg. 1987 Mar;43(3):309-12. doi: 10.1016/s0003-4975(10)60620-0.
3
[Clinical aspects and physiopathology of fetal left heart hypoplasia. 2 case reports].
Zentralbl Gynakol. 1984;106(19):1342-5.
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Experience with operations for hypoplastic left heart syndrome.左心发育不全综合征的手术经验。
J Thorac Cardiovasc Surg. 1981 Oct;82(4):511-9.
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The Infant with Aortic Arch Hypoplasia and Small Left Heart Structures: Echocardiographic Indices of Mitral and Aortic Hypoplasia Predicting Successful Biventricular Repair.患有主动脉弓发育不全和左心结构小的婴儿:二尖瓣和主动脉发育不全的超声心动图指标预测双心室修复成功。
Pediatr Cardiol. 2017 Aug;38(6):1296-1304. doi: 10.1007/s00246-017-1661-2. Epub 2017 Jul 4.
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Surgical management of severe aortic outflow obstruction in lesions other than the hypoplastic left heart syndrome: use of a pulmonary artery to aorta anastomosis.
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Aortic atresia with interrupted aortic arch: reparative operation.主动脉闭锁合并主动脉弓中断:修复手术
J Thorac Cardiovasc Surg. 1981 Feb;81(2):239-44.
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The bilateral pulmonary artery banding for hypoplastic left heart syndrome with a diminutive ascending aorta.用于伴有细小升主动脉的左心发育不全综合征的双侧肺动脉环扎术。
Interact Cardiovasc Thorac Surg. 2009 Apr;8(4):479-81. doi: 10.1510/icvts.2008.192534. Epub 2009 Jan 6.
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Selective aortic root angiography in the hypoplastic left heart syndrome.
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Results of Norwood's operation for lesions other than hypoplastic left heart syndrome.诺伍德手术治疗除左心发育不全综合征以外病变的结果。
J Thorac Cardiovasc Surg. 1995 Nov;110(5):1555-61; discussion 1561-2. doi: 10.1016/S0022-5223(95)70079-X.

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Braz J Cardiovasc Surg. 2025 Jun 18;40(4):e20240442. doi: 10.21470/1678-9741-2024-0442.
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Hypoplastic left heart syndrome (HLHS) becomes of age: Assessing the young adult with HLHS including the neoaorta/aortic arch.左心发育不全综合征(HLHS)步入成年期:评估患有HLHS的青年成人,包括新主动脉/主动脉弓。
Int J Cardiol Congenit Heart Dis. 2024 Nov 29;19:100555. doi: 10.1016/j.ijcchd.2024.100555. eCollection 2025 Mar.
3
Comparison of Morbidity and Mortality Outcomes between Hybrid Palliation and Norwood Palliation Procedures for Hypoplastic Left Heart Syndrome: Meta-Analysis and Systematic Review.
混合姑息治疗与诺伍德姑息治疗用于左心发育不全综合征的发病率和死亡率结果比较:荟萃分析与系统评价
J Clin Med. 2024 Jul 20;13(14):4244. doi: 10.3390/jcm13144244.
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Long-Term Survival After Single-Ventricle Palliation: A Swedish Nationwide Cohort Study.单心室姑息治疗后的长期生存:一项瑞典全国队列研究。
J Am Heart Assoc. 2024 Mar 19;13(6):e031722. doi: 10.1161/JAHA.123.031722. Epub 2024 Mar 18.
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Hypoplastic Left Heart Syndrome: Signaling & Molecular Perspectives, and the Road Ahead.左心发育不良综合征:信号与分子视角,以及未来之路。
Int J Mol Sci. 2023 Oct 17;24(20):15249. doi: 10.3390/ijms242015249.
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Automated prediction of cardiorespiratory deterioration in patients with single-ventricle parallel circulation: A multicenter validation study.单心室并行循环患者心肺功能恶化的自动预测:一项多中心验证研究。
JTCVS Open. 2023 Jun 20;15:406-411. doi: 10.1016/j.xjon.2023.05.012. eCollection 2023 Sep.
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Ann Card Anaesth. 2023 Apr-Jun;26(2):211-214. doi: 10.4103/0971-9784.320955.
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