Left Isomerism に伴った複雑心奇形に対する心房内修復術による 1 治験例

概要

論文の詳細を見る
An infant with left isomerism, rifht-sided heart, common atrium, interrupted inferior caval vein with azygos continuation, bilateral superior caval veins, imcomplete endocardial cushion defect, pulmonary venous drainage to right sided atrium, concordant ventriculo-arterial relation and pulmonary hypertension is reported. At the age of 1 year 10 months, intra-atrial partitioning was performed by a systemic venous baffle which directed caval blood to the tricuspid orifice. Entire hepatic vein and part of the coronary vein were left to open into the new left atrium. When compared with the preoperative values, systemic-to-pulmonary systolic pressure ratio declined from 0.83 to 0.56 and systemic artery oxygen saturation was elevated from 68% to 93%. Pulse doppler echocardiography demonstrated mild mitral regurgitation. Although the patient developed complete heart block, for which a permanent pacemaker was implanted, she recovered uneventfully otherwise and was discharged on 78th postoperative day.
日本小児外科学会の論文
1990-10-20