Gojo S, Kawachi K, Fukutomi M, Kobayashi S, Hamada Y, Kitamura S
Department of Surgery III, Nara Medical College, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Apr;41(4):655-9.
A four-year-old boy who had isolated levocardia associated with left atrial isomerism, polysplenia and tetralogy of Fallot underwent successful corrective surgery. In addition, these anomalies were complicated by interrupted inferior vena cava, azygos continuation, and total anomalous hepatic venous connection. Because of these systemic venous anomalies, cardiopulmonary bypass presented us some problems of venous cannulations. We used 4 direct venous cannulations; i.e., superior vena cava, persistent left superior vena cava through coronary sinus, azygos vein and hepatic vein. Reports of total correction in patients with isolated levocardia associated with tetralogy of Fallot are rare, and we report the case with some reviews of the related literature.
一名患有孤立性左位心并伴有左心房异构、多脾和法洛四联症的4岁男孩接受了成功的矫正手术。此外，这些异常还合并有下腔静脉中断、奇静脉延续和完全性肝静脉异常连接。由于这些体静脉异常，体外循环给我们带来了一些静脉插管问题。我们采用了4根直接静脉插管，即上腔静脉、经冠状窦的永存左上腔静脉、奇静脉和肝静脉。关于孤立性左位心合并法洛四联症患者进行完全矫正的报道很少，我们报告了该病例并对相关文献进行了一些综述。
