Mesh : Male Humans Adult Cor Triatriatum / complications diagnosis surgery Vena Cava, Superior / surgery Heart Septal Defects, Atrial / complications diagnosis surgery Heart Defects, Congenital Transposition of Great Vessels / complications diagnosis surgery

来  源:   DOI:10.1532/hsf.5173

Abstract:
A 37-year-old male patient with corrected transposition of great arteries (ccTGA) with cor triatriatum sinister (CTS), left superior vena cava, and atrial septal defects is reported in our case. None of these impacted the patient\'s growth or development, nor daily work until age 33. Later, the patient developed symptoms of obvious impaired heart function, which improved after medical treatment. However, the symptoms reappeared and gradually worsened two years later, and we decided to treat it with surgery. In this case, we selected tricuspid mechanical valve replacement, cor triatriatum correction, and atrial septal defect repair. During the follow-up of five years, the patient had no obvious symptoms, ECG did not change significantly from five years ago, and the cardiac color Doppler ultrasound showed RVEF 0.51.
摘要:
一名37岁的男性患者,患有矫正的大动脉转位(ccTGA)并伴有三房内阴险(CTS),左上腔静脉,我们的病例报道了房间隔缺损。这些都不会影响患者的生长或发育,在33岁之前也没有日常工作。稍后,患者出现了明显的心脏功能受损的症状,经过治疗后有所改善。然而,症状再次出现,并在两年后逐渐恶化,我们决定用手术治疗.在这种情况下,我们选择了三尖瓣机械瓣膜置换术,三房房矫正,房间隔缺损修复术.在五年的后续行动中,病人没有明显的症状,心电图与五年前相比没有明显变化,心脏彩色多普勒超声显示RVEF为0.51。
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