Yuan S M
Department of Surgery, Fuwai Heart Hospital, Peking Union Medical College, Beijing, P.R.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1997 May;59(5):308-10.
The association of secundum atrial septal defect (ASD) and congenital or acquired mitral lesions is rare. Only one case of secundum ASD and mitral lesion, in a three-year-old girl, has been encountered over a three-year period in this hospital. Diagnosis was not difficult with echocardiography, and was confirmed by operation. Surgical procedures including repair of ASD and annuloplasty of the mitral valve were performed under cardiopulmonary bypass. The mitral valve lesion was found during the operation to be of a congenital origin. Mitral lesions should not be neglected, and repair should be attempted even in a pediatric patient. Otherwise, anatomical and functional disorders of the mitral valve may develop at the early postoperative stage.
继发孔型房间隔缺损（ASD）与先天性或后天性二尖瓣病变的关联较为罕见。在这家医院的三年时间里，仅遇到过一例继发孔型ASD合并二尖瓣病变的病例，患者为一名三岁女童。通过超声心动图诊断并不困难，且手术证实了诊断结果。在体外循环下进行了包括ASD修补和二尖瓣瓣环成形术在内的外科手术。术中发现二尖瓣病变为先天性起源。二尖瓣病变不应被忽视，即使是儿科患者也应尝试进行修复。否则，二尖瓣可能在术后早期出现解剖和功能紊乱。
