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先天性心脏病的术后病理学。I. 完全性房室通道

Postoperative pathology of congenital heart disease. I. Complete atrio-ventricular canal.

作者信息

Franceschini Grisolia E, Frescura C, Bortolotti U, Mazzucco A, Gallucci V, Pellegrino P, Chioin R, Thiene G

出版信息

G Ital Cardiol. 1982;12(12):855-8.

PMID:6222935
Abstract

The postoperative pathology observed in 17 patients with complete atrioventricular canal, who died following total correction is described. In 3 patients, in whom valve replacement was necessary, the death was due to late prosthetic dysfunction. Out of 14 patients who underwent plastic repair, 4 died from undetected residual cardiac anomalies, which in 2 cases were associated with pulmonary obstructive vascular disease, 3 from unexplained myocardial infarction, 3 from inadequate postoperative care and 4 from pulmonary obstructive vascular disease which presented as an isolated finding. An analysis of the incidence of pulmonary obstructive vascular disease in these patients disclosed that it can develop before one year of age in some patients with Down syndrome.

摘要

描述了17例完全性房室通道患者在接受完全矫正术后死亡的术后病理情况。在3例需要进行瓣膜置换的患者中,死亡原因是晚期人工瓣膜功能障碍。在接受整形修复的14例患者中,4例死于未被发现的残余心脏异常,其中2例与肺阻塞性血管疾病有关,3例死于不明原因的心肌梗死,3例死于术后护理不足,4例死于孤立出现的肺阻塞性血管疾病。对这些患者中肺阻塞性血管疾病发病率的分析表明,在一些唐氏综合征患者中,该疾病可在1岁前发生。

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