Wang T L, Lai L P, Kuan P
Department of Internal Medicine, National Taiwan University Hospital, Taipei, ROC.
Int J Cardiol. 1993 Sep;41(2):173-5. doi: 10.1016/0167-5273(93)90160-i.
A 19-year-old male patient who had undergone total cavo-pulmonary connection for complex congenital cyanotic heart disease with partial anomalous pulmonary venous return, was found to have persistent postoperative cyanosis. Transesophageal echocardiography disclosed leakage of the intra-atrial Gortex conduit with a right-to-left shunt. Prompt re-do operation confirmed the site of the leakage which was successfully repaired. Intraoperative transesophageal echocardiography may be indicated so as to avoid a secondary open-chest procedure for this complication.
一名19岁男性患者，因复杂先天性青紫型心脏病合并部分肺静脉异位引流接受了全腔静脉-肺动脉连接术，术后发现持续存在青紫。经食管超声心动图显示心房内戈尔特斯导管渗漏，存在右向左分流。及时进行再次手术确定了渗漏部位，并成功修复。术中可能需要行经食管超声心动图检查，以避免针对该并发症进行二次开胸手术。
