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find Keyword "静脉窦型房间隔缺损" 2 results
  • Surgical Treatment of Sinus Venosus Atrial Septai Defect

    Objective To summarize the experiences of surgical treatment of sinus venosus atrial septal defect (SVASD). Methods There were 32 patients of SVASD, all of them were associated with totally or partially right anomalous pulmonary venous connection. There were 25 cases of superior SVASD, 22 cases underwent double-patch procedure, 3 cases underwent Warden procedure. In 7 cases of inferier SVASD, 3 cases of Scimitar syndrome underwent ASD repair by pericardial patch and at the same time the anomalous pulmonary vein was divided and reimplanted to the posterior wall of left atrium, 4 cases of them underwent single-patch ASD repair. Results The surgical results were satisfying and no patient died, 28 patients were in sinus rhythm and echocardiography showed neither obstruction of caval vein and right pulmonary vein nor residual interatrial shunt. Conclusion SVASD mostly associated with right anomalous pulmonary venous connection according to its special anatomic structure. Preserving the function of sinus node and avoiding of obstruction of caval vein should be routinely considered when superior SVASD was repaired. The heart function of Scimitar syndrome should be followed-up for a long time for it usually associated with right lung hypoplasia.

    Release date:2016-08-30 06:18 Export PDF Favorites Scan
  • 三种手术矫治静脉窦型房间隔缺损的临床结果

    目的 总结静脉窦型房间隔缺损(SVASD)合并部分性肺静脉异位连接(PAPVC)外科治疗的临床结果。 方法 回顾性分析 2000 年 1 月至 2016 年 12 月湖南省儿童医院 49 例 SVASD/PAPVC 患者的临床资料,其中男 21 例、女 28 例,年龄 5 个月~14 岁,平均年龄(4.7±2.1)岁。肺静脉异位连接位置位于右房者 9 例,位于右房与上腔静脉连接部者 12 例,位于上腔静脉者 28 例。根据手术方式分为三组,A 组 29 例采用单片心包补片修补,B 组 12 例采用双片心包补片修补,C 组 8 例将上腔静脉近心端引入左房、上腔静脉远心端与右心耳吻合(Warden 手术)进行矫治。 结果 手术效果满意,心内无残余分流,无手术死亡病例,无再手术者,无肺静脉回流梗阻病例出现。随访 6 个月至 15 年,术后 7 例上腔静脉流速增高,其中 A 组 4 例(13.8%),B 组 2 例(9.5%),C 组 1 例(12.5%)。术后 7 例窦房结功能异常,其中 A 组 3 例(10.3%,随访恢复窦性心律),B 组 4 例(19.0%,随访时 3 例恢复窦性心律,1 例为结性心律),C 组无窦房结功能异常病例出现。 结论 SVASD 多伴有右侧肺静脉异位连接,矫正 SVASD 时应注意防止上腔静脉和右侧肺静脉回流梗阻,并避免影响窦房结功能,选择适当的手术方式可以减少并发症的发生。Warden 手术能有效避免窦房结功能的影响,对于异位连接位置位于上腔静脉高位者,Warden 法应作为首选。

    Release date:2018-11-02 03:32 Export PDF Favorites Scan
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