Yurdakul Y, Arsan S, Karapinar K, Tamim M, Bilgiç A
Department of Thoracic and Cardiovascular Surgery, Hacettepe University Faculty of Medicine, Ankara.
Turk J Pediatr. 1995 Apr-Jun;37(2):173-6.
A three-year-old girl was admitted to Hacettepe Children's Hospital due to sweating and poor feeding. Echocardiography demonstrated ostium primum atrial septal defect with a cleft mitral valve. After two months of medical follow-up with digitalis, she was subjected to open-heart surgery, and a primum-type atrial septal defect with double mitral orifice was found. To avoid creating acute mitral stenosis, the cleft was only partially sutured and the septal defect was closed with a patch. Her postoperative recovery was uneventful. It is emphasized that surgical intervention should be individualized in each case.
一名三岁女孩因多汗和喂养困难入住哈杰泰佩儿童医院。超声心动图显示原发孔房间隔缺损合并二尖瓣裂缺。在使用洋地黄进行两个月的医学随访后，她接受了心脏直视手术，发现是具有双二尖瓣口的原发孔型房间隔缺损。为避免造成急性二尖瓣狭窄，仅对二尖瓣裂缺进行了部分缝合，并用补片封闭了房间隔缺损。她术后恢复顺利。强调手术干预应根据每个病例进行个体化处理。
