Canivet J L, Defraigne J O, Demoulin J C, Limet R
Department of Anesthesiology, CHU du Sart-Tilman, Liege, Belgium.
Ann Thorac Surg. 1994 Sep;58(3):890-1. doi: 10.1016/0003-4975(94)90781-1.
We report a case of mechanical flow obstruction after heart transplantation caused by a prominent left atrium suture with a "pursestring" effect. The diagnosis was achieved by transesophageal echocardiography. The mean transstenotic gradient was measured at 13 mm Hg. Because of the profound hemodynamic and multisystemic failure, no surgical correction was attempted. The postmortem examination confirmed the stenosis at the level of the left atrium.
我们报告一例心脏移植后因左心房突出缝线产生“荷包口”效应导致机械性血流梗阻的病例。通过经食管超声心动图做出诊断。跨狭窄平均压差测得为13毫米汞柱。由于严重的血流动力学和多系统功能衰竭，未尝试进行手术矫正。尸检证实左心房水平存在狭窄。
