Nomura K, Kurosawa H, Morita K, Miyamoto H, Tatara A, Hanai M
Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Jan;45(1):92-5.
We experienced the rare association of Tetralogy of Fallot with cor triatriatum, unroofed coronary sinus and persistent left superior vena cava. Only one case of this association has ever been reported in the literature. We successfully performed a total correction which consisted of a resection of the intra-left atrial fibrous membrane, reconstruction of the LSVC return pathway to the right atrium with PTFE graft, atrial partition with a bovine pericardial patch and the conotruncal repair for Tetralogy of Fallot. Cardiac catheterization 6 months after operation demonstrated the smooth drainage from LSVC into the right atrium without pressure gradient. His postoperative course has been uneventful.
我们遇到了法洛四联症合并三房心、冠状静脉窦未闭和永存左上腔静脉这种罕见的关联情况。文献中仅报道过一例这种关联病例。我们成功进行了全面矫正,包括切除左心房内纤维膜、用聚四氟乙烯移植物重建左上腔静脉回流至右心房的通路、用牛心包补片进行心房分隔以及对法洛四联症进行圆锥干修复。术后6个月的心脏导管检查显示左上腔静脉顺利引流至右心房,无压力阶差。他的术后病程平稳。