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镜像右位心 [I,D,D] 中左心室双出口的外科治疗

Surgical treatment of double-outlet left ventricle in situs inversus [I,D,D].

作者信息

Akagawa H, Yoshioka F, Isomura T, Ohishi K, Hirata K, Kato H, Koga M

出版信息

Ann Thorac Surg. 1984 Apr;37(4):337-42. doi: 10.1016/s0003-4975(10)60742-4.

DOI:10.1016/s0003-4975(10)60742-4
PMID:6712335
Abstract

A case of double-outlet left ventricle [I,D,D] with a subaortic ventricular septal defect and pulmonary stenosis is reported. The diagnosis was made at operation and was reconfirmed postoperatively by two-dimensional echocardiography. Repair was achieved by patch closure of the ventricular septal defect and enlargement of the functional right ventricular outflow tract using a valved patch. The postoperative course was uneventful except for a transient complete heart block. To our knowledge, this represents the second instance of surgical treatment of double-outlet left ventricle [I,D,D] reported in the literature.

摘要

报道了一例具有主动脉下室间隔缺损和肺动脉狭窄的左心室双出口[I,D,D]病例。诊断在手术时确定,并在术后通过二维超声心动图再次证实。通过用补片闭合室间隔缺损以及使用带瓣补片扩大功能性右心室流出道来完成修复。术后过程顺利,仅出现短暂的完全性心脏传导阻滞。据我们所知,这是文献中报道的第二例左心室双出口[I,D,D]的外科治疗病例。

相似文献

1
Surgical treatment of double-outlet left ventricle in situs inversus [I,D,D].镜像右位心 [I,D,D] 中左心室双出口的外科治疗
Ann Thorac Surg. 1984 Apr;37(4):337-42. doi: 10.1016/s0003-4975(10)60742-4.
2
[Successful repair of double-outlet right ventricle (S.D.L.) with subaortic ventricular septal defect and pulmonary stenosis using valved external conduit (author's transl)].
Nihon Kyobu Geka Gakkai Zasshi. 1980 Sep;28(9):1462-8.
3
[Successful surgical treatment of a case of corrected transposition in situs inversus with associated anomalies].[一例镜像右位心合并矫正性大动脉转位伴相关畸形的成功手术治疗]
Nihon Kyobu Geka Gakkai Zasshi. 1991 Jun;39(6):967-73.
4
Successful repair of double-outlet right ventricle with transposition of the great arteries (aorta anterior and to the left), pulmonary stenosis, and subaortic ventricular spetal defect.成功修复合并大动脉转位(主动脉位于前方且偏左)、肺动脉狭窄及主动脉下室间隔缺损的右心室双出口。
J Thorac Cardiovasc Surg. 1972 May;63(5):741-6.
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Double outlet right ventricle, non-committed ventricular septal defect and pulmonic stenosis. Anatomical and surgical considerations.右心室双出口、非限制性室间隔缺损和肺动脉狭窄。解剖学和手术方面的考虑。
Thorac Cardiovasc Surg. 1980 Oct;28(5):368-70. doi: 10.1055/s-2007-1022111.
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Successful repair of double-outlet right ventricle with bilateral conus, 1-transposition of great arteries (S,D,L), and subpulmonary ventricular septal defect.成功修复伴有双侧圆锥、大动脉1型转位(S,D,L)和肺动脉下室间隔缺损的右心室双出口。
J Thorac Cardiovasc Surg. 1976 Mar;71(3):366-70.
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Surgical management of double-outlet right ventricle.右心室双出口的外科治疗
J Thorac Cardiovasc Surg. 1985 Jul;90(1):29-34.
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[Double outlet right ventricle with situs inversus. Surgical treatment of a case with interventricular communication and pulmonary stenosis].[右心室双出口伴内脏转位。1例合并心室间交通和肺动脉狭窄病例的外科治疗]
An Esp Pediatr. 1988 May;28(5):459-62.
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Double outlet left ventricle, transposition of great vessels and pulmonary stenosis.左心室双出口、大动脉转位和肺动脉狭窄。
Asian Cardiovasc Thorac Ann. 2004 Jun;12(2):159-61. doi: 10.1177/021849230401200216.
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Pulmonary root translocation in malposition of great arteries repair allows right ventricular outflow tract growth.大动脉错位矫治术中肺总根移位可促进右心室流出道生长。
J Thorac Cardiovasc Surg. 2012 Jun;143(6):1292-8. doi: 10.1016/j.jtcvs.2011.11.027. Epub 2011 Dec 10.

引用本文的文献

1
Double-outlet left ventricle: diagnosis and management.
Curr Treat Options Cardiovasc Med. 2008 Sep;10(5):448-52. doi: 10.1007/s11936-008-0037-6.