浙江医学2012，Vol.34Issue(10)：783-785,801,4.
三房心的诊断与外科治疗
Clinical diagnosis and surgical treatment for cor triatriatum
杨懋颖 1金自瑛 2李建华 3张泽伟 3朱雄凯 3林茹 3俞建根3
作者信息
- 1. 310013,杭州,浙江医院心脏外科
- 2. 浙江大学医学院附属儿童医院麻醉科
- 3. 浙江大学医学院附属儿童医院心胸外科
- 折叠
摘要
Abstract
Objective To review the pathological morphology, clinical diagnosis and surgical treatment of cor triatriatum sinister. Methods Twenty-one patients with cor triatriatum sinister of age range from 1m to 9y (means 3.10 ± 1.47y), 9 males and 12 females were collected in this study. Five cases were classified as typical type (simple type) and 16 were atypical type (complicated type). All the patients underwent open heart surgery under hypothermic cardiopulmonary bypass(CPB). The surgery was performed by right atrium-septal approach in all 21 patients. Firstly, the normal anatomic structures of atrium sinistrum and their relations with the abnormal septum and atrial septal defect were identified, and then excision of the fibromuscular membrane in the left atrium was performed, the associated abnormalities were corrected at the same time. In the surgery, it was essential to avoid injury of the left atrium and the mitral valve. Results The surgical corrections were successful with good results in all 21 cases. All the patients were followed up from 6m to 3y after surgery and presented a fine postoperative recovery. The cardiac function of all patients reached to grade I-II. Conclusion Cor triatriatum is rare in congenital heart diseases. Two-dimensional or three-dimensional transthoracic (transoesophageal) echocardiography with color Doppler imaging and MRI are of great value in diagnosis of cor triatriatum. Good results can be accomplished with the surgical treatment to resect the fibromuscular in left atrium and to correct associated cardiac abnormalities simultaneously.关键词
先天性心脏病/三房心/诊断/手术治疗Key words
Congenital heart disease Cor triatriatum Diagnosis Surgical treatment引用本文复制引用
杨懋颖,金自瑛,李建华,张泽伟,朱雄凯,林茹,俞建根..三房心的诊断与外科治疗[J].浙江医学,2012,34(10):783-785,801,4.
