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Report of surgical treatment in 164 cases with double-chambered right ventricle: a
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- Author:
- No author available
- Journal Title:
- JOURNAL OF CHINESE PHYSICIAN
- Issue:
- 12
- DOI:
- 10.3760/cma.j.issn.1008-1372.2007.12.003
- Key Word:
- 右室双出口/诊断/外科学
Abstract： 目的 总结双腔右心室的诊断及外科治疗经验.方法 回顾性分析双腔右心室164例患者的诊治情况,其中单纯双腔右心室14例,同时合并其它心内畸形150例.164例患者中肌束型88例,肌隔型76例,所有患者均予切除右心室异常肌束,同期予室间隔缺损直接缝合94例,Teflon补片修补56例,自体心包加宽右室流出道23例,矫正合并的其它心内畸形24例.结果 164例患者中除1例于术后3 d死于低心排综合征,余患者无近期、远期死亡及相关并发症.结论 单纯双腔右心室少见,常合并其它心内畸形,以合并室间隔缺损(150/164)多见,其它的心内畸形有卵圆孔未闭、左室假腱索、肺动脉狭窄等.手术效果确切有效,熟练掌握双腔右心室的病理解剖、正确识别异常肌束及有效的右心室流出道疏通是手术成功的关键.
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