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同种带瓣外通道治疗合并肺动脉高压的三尖瓣闭锁

A VALVED HOMOGRAFT CONDUIT FOR THE SURGICAL TREATMENT OF TRICUSPID ATRESIA WITH PULMONARY HYPERTENSION
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摘要 三尖瓣闭锁合并肺动脉高压是一种少见的先天性复杂心脏畸形。本文报告自1992年4月至1993年7月期间收治的3例此病病儿,均为男性,年龄分别为3岁、3岁、6岁。术前均做彩色多普勒超声心动图和右心导管,以及左右室造影。测得肺动脉平均压分别为5.6kPa(43mmHg)、7.6kPa(57mmHg)、6.0kPa(45mmHg),3例均合并房、室间隔缺损。均用右心房─右心室同种带瓣外通道施行矫治术。病儿一切顺利,无一例死亡。 Tricuspid atresia with pulmonary hypertension is a rare complex congenital malformation of the heart.This article reported the clinical experience of 3 cases with this disease operated in our hospital from April,1992 to July, 1993. 3 patients were all males, aged 3,3 and 6 years. The diagnosis was made by colour Doppler echocardiography, catheterization and angiography. All of the cases associated with VSD and ASD,and had mean pulmonary artery pressures of 5. 7, 7. 6,and 6.0 kpa(43. 57 and 45 mmHg). The cardiac anomalies were corrected surgically by right atrioventricular conduit with a valved homograft, and the associated VSD and ASD were also repaired. All of the 3cases recovered smoothly.
出处 《中国循环杂志》 CSCD 1995年第5期271-272,共2页 Chinese Circulation Journal
关键词 三尖瓣闭锁 肺动脉高压 心脏外科手术 Tricuspid atresia Pulmonary hypertension Valved homograft conduit
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