Bapat V N, Tendolkar A G
Department of Cardiovascular and Thoracic Surgery, King Edward VII Memorial Hospital, Bombay, India.
Tex Heart Inst J. 1997;24(4):362-5.
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.
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。