超声心动图评价BiVAD插入经房导管对肖尼综合症患者的影响

IF 2.3 4区 医学 Q2 ANESTHESIOLOGY Journal of cardiothoracic and vascular anesthesia Pub Date : 2025-01-01 DOI:10.1053/j.jvca.2023.11.018
David M. Preston DO, Mikel S. Gorbea MD, Ingrid Moreno-Duarte MD
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引用次数: 0

摘要

Shone综合征包括一系列左侧阻塞性病变,如降落伞二尖瓣、瓣上二尖瓣环、左心室流出道阻塞和主动脉缩窄。这种复杂的层状左侧阻塞性病变最终可能导致进行性心肌病和肺动脉高压。在本病例中,一名16岁男性患者因急性合并收缩期和舒张期双心室衰竭就诊于我院,病史为不完全肖恩氏综合征(伞状二尖瓣、双尖瓣主动脉瓣伴中度主动脉狭窄、主动脉弓发育不全伴新生儿弓修复),需要放置双心室装置作为移植的桥梁。超声心动图评价显示小的左侧结构典型的不完全肖尼的复杂和双心室功能衰竭。小的左侧结构和减少的左心室容量禁止心室插管导致使用经心房流入插管技术作为左心室辅助装置。本病例强调了认识到序贯狭窄对舒张功能障碍、左房高压和肺动脉高压发展的潜在贡献的重要性,最终导致失代偿。此外,术中超声心动图允许连续监测室间隔切开术部位周围的房间隔完整性和左心房流入插管,以促进最佳的左侧引流。
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Echocardiographic Evaluation During Biventricular Assist Device Insertion With Transatrial Cannulation in a Patient With Shone's Complex
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来源期刊
CiteScore
4.80
自引率
17.90%
发文量
606
审稿时长
37 days
期刊介绍: The Journal of Cardiothoracic and Vascular Anesthesia is primarily aimed at anesthesiologists who deal with patients undergoing cardiac, thoracic or vascular surgical procedures. JCVA features a multidisciplinary approach, with contributions from cardiac, vascular and thoracic surgeons, cardiologists, and other related specialists. Emphasis is placed on rapid publication of clinically relevant material.
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