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主动脉弓中断合并风湿性二尖瓣狭窄及埃布斯坦畸形。1例手术成功病例报告。

Aortic arch interruption with rheumatic mitral stenosis and Ebstein's anomaly. Report of a case with successful surgical outcome.

作者信息

Bapat V N, Tendolkar A G

机构信息

Department of Cardiovascular and Thoracic Surgery, King Edward VII Memorial Hospital, Bombay, India.

出版信息

Tex Heart Inst J. 1997;24(4):362-5.

PMID:9456493
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC325483/
Abstract

We present a rare case of a patient with interrupted aortic arch with Ebstein's anomaly of the tricuspid valve and rheumatic mitral stenosis. This patient presented in early adulthood, which makes his case even more unusual. We successfully treated the mitral stenosis and the interrupted aortic arch through a left lateral thoracotomy, but we decided against correcting the Ebstein's anomaly, which was mild. The hemodynamic effects of each lesion, independently and in the presence of each other, are discussed.

摘要

我们报告一例罕见病例，患者为主动脉弓中断合并三尖瓣埃布斯坦畸形及风湿性二尖瓣狭窄。该患者在成年早期发病，这使得他的病例更为特殊。我们通过左外侧开胸手术成功治疗了二尖瓣狭窄和主动脉弓中断，但鉴于三尖瓣埃布斯坦畸形程度较轻，我们决定不予以纠正。本文讨论了每个病变单独存在以及相互并存时的血流动力学影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/34e2d319252a/thij00027-0134-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/7f2ecf792a51/thij00027-0133-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/6c9f6758b008/thij00027-0133-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/4d8952bd6d11/thij00027-0133-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/34e2d319252a/thij00027-0134-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/7f2ecf792a51/thij00027-0133-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/6c9f6758b008/thij00027-0133-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/4d8952bd6d11/thij00027-0133-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/406a/325483/34e2d319252a/thij00027-0134-a.jpg

相似文献

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Tex Heart Inst J. 1997;24(4):362-5.
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引用本文的文献

1
Quadrivalvular heart disease of mixed congenital and rheumatic aetiology with concomitant ostium secundum atrial septal defect and Ebstein's anomaly of the tricuspid valve.具有先天性和风湿性混合病因的四瓣膜心脏病，伴有继发孔型房间隔缺损和三尖瓣埃布斯坦畸形。
BMJ Case Rep. 2013 May 3;2013:bcr2012008032. doi: 10.1136/bcr-2012-008032.

本文引用的文献

1
Congenital absence of the aortic arch.先天性主动脉弓缺如。
Am Heart J. 1959 Sep;58:407-13. doi: 10.1016/0002-8703(59)90157-7.
2
The triad of congenital absence of aortic arch (isthmus aortae), patent ductus arteriosus and interventricular septal defect; a trilogy.先天性主动脉弓缺如（主动脉峡部）、动脉导管未闭和室间隔缺损三联征；一种三联症。
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Congenital absence of the aortic isthmus; report of a case with successful surgical repair.先天性主动脉峡部缺如；1例成功手术修复报告
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Interruption of the aortic arch with associated cardiac anomalies. Survival to adulthood.主动脉弓中断伴相关心脏异常。存活至成年。
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Ebstein's anomaly: presentation and outcome from fetus to adult.埃布斯坦畸形：从胎儿到成人的临床表现与转归
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Interrupted aortic arch: surgical treatment.主动脉弓中断：外科治疗
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Complete interruption of the aorta at the arch.主动脉弓处完全中断。
Am J Roentgenol Radium Ther Nucl Med. 1972 Feb;114(2):362-70. doi: 10.2214/ajr.114.2.362.
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Interruption of the aortic arch.
Thorax. 1972 Jan;27(1):93-9. doi: 10.1136/thx.27.1.93.
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Aortic arch interruption associated with patent ductus arteriosus, ventricular septal defect, and total anomalous pulmonary venous connection. Total correction in an 8-day-old infant by means of profound hypothermia and limited cardiopulmonary bypass.
J Thorac Cardiovasc Surg. 1972 Mar;63(3):367-73.