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[3个月婴儿冠状动脉瘘合并三尖瓣狭窄的外科治疗]

[Surgical management of coronary artery fistula with tricuspid stenosis in a three-month-old infant].

作者信息

Egami J, Sudo K, Ikeda K, Ide H, Kokubo J, Koishizawa T, Watanabe M, Fujiki T, Nonaka K, Sasagawa N

机构信息

Department of Thoracic and Cardiovascular Surgery, Kyorin University, School of Medicine, Tokyo.

出版信息

Kyobu Geka. 1994 Sep;47(10):854-7.

PMID:7933748
Abstract

This is a case report of a 3-month-old infant who had been suffering from progression of cardiac failure. Two dimensional echo-cardiography revealed a fistula between the right coronary artery to the right heart. He was operated upon using extracorporeal circulation. Symbas procedure was carried out to close the fistula. Upon opening the right atrium, there noted tricuspid stenosis (TS). Then, ASD was created to reduce the right atrial pressure to prevent right heart failure secondary to TS. He is doing well postoperatively.

摘要

这是一例关于一名3个月大婴儿的病例报告,该婴儿一直患有心力衰竭进展。二维超声心动图显示右冠状动脉与右心之间存在瘘管。他接受了体外循环手术。进行了Symbas手术以闭合瘘管。打开右心房时,发现有三尖瓣狭窄(TS)。然后,创建了房间隔缺损(ASD)以降低右心房压力,防止继发于TS的右心衰竭。他术后情况良好。

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