背景单心房是一种非常罕见的心脏病,其中房间隔缺失。这些先天性心脏缺陷通常在出生后进行手术矫正。病例介绍我们介绍了一名27岁女性单心房(SA)的成功手术修复,房间隔完全缺失的人,没有共存的瓣膜病理学。由于单心房,SA直径为9.97×6.18cm,全身血流量/肺血流量(Qp/Qs)为4.1。手术矫正包括制造新的房间隔,使用双丝绒贴片。在第一年和第二年的随访中,患者情况良好,没有任何症状。我们认为单心房的诊断,尤其是在生育妇女中,应该在适当的时间内完成,为了避免流产,早产和其他相关并发症。结论有许多病例报告显示单心房手术修复良好,无晚期并发症。在我们的案例中,我们得到了很好的手术修复,术中经食管超声心动图显示无房室束损伤且无残余分流。
Background A single atrium is a very rare heart condition, in which the inter atrial septum is missing. These congenital heart defects usually are surgically corrected after birth. Case Presentation We present a successful surgical repair of a single atrium (SA) in a 27-year-old woman, who has a complete missing of the atrial septum, without coexisting valvular pathology. The SA diameter was 9.97 × 6.18 cm and the Systemic blood flow/pulmonary blood flow (Qp/Qs) was 4.1 due to the single atrium. Surgical correction consisted of creating a new atrial septum, using a double-velor patch. At first- and second-year follow up, the patient was in a very good condition and without any symptoms present. We consider that the diagnoses of single atrium, especially in child bearing women, should be done in appropriate time, to avoid miscarriages, preterm births and other complications associated. Conclusion There are many case reports that show good surgical repair of single atrium and without late complications. In our case, we have obtained a very good surgical repair, without AV bundle damage and no residual shunt demonstrated on intraoperative transesophageal echocardiography.