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[右肺动脉缺如伴严重肺动脉高压,经手术矫正后病情缓解]

[Agenesis of the right pulmonary artery with severe pulmonary hypertension, attenuated by surgical correction].

作者信息

Atik E, Barbero-Marcial M, Kajita L, Bustamante L N, Foronda A, Ebaid M

机构信息

Instituto do Coração do Hospital das Clínicas, FMUSP.

出版信息

Arq Bras Cardiol. 1995 Feb;64(2):133-6.

PMID:7575158
Abstract

A 22 months old infant with agenesis of right pulmonary artery, without other associated congenital heart defects, is reported. Reconstruction of pulmonary arteries by connecting them through a 7mm Goretex tube was performed, with clear clinical improvement in view of disappearance of signs of cardiac insufficiency and of hypoxemia. Contralateral pulmonary hypertension, at systemic level, decreased to 77% in the immediate postoperative period. So, this technique becomes the first option, before considering these cases for cardiopulmonary transplantation.

摘要

报告了一名22个月大的婴儿,其右肺动脉发育不全,无其他相关先天性心脏缺陷。通过一根7毫米的戈尔特斯(Goretex)管连接肺动脉进行了肺动脉重建,鉴于心功能不全和低氧血症体征消失,临床症状明显改善。术后即刻,对侧肺动脉高压降至体循环水平的77%。因此,在考虑对这些病例进行心肺移植之前,该技术成为首选。

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