经食管超声心动图评估一例异位综合征患者在接受川岛手术和肝静脉改道时下腔静脉中断的单心室生理状况

Devishree Das, N. Makhija, M. Prakash
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引用次数: 0

摘要

经食道超声心动图(TEE)对于确定单心室(SV)病变的解剖、生理和围手术期管理至关重要。单心室病变通常与异位综合征有关,该综合征会导致身体左右轴上的器官异常侧位。表现为右心房或左心房异位。SV 生理学患者需要格伦手术来缓解病情,而方坦手术则是最终的干预措施。然而,对于下腔静脉(IVC)中断的患者,则采用川岛手术进行最终缓解。我们报告了一名 15 岁女性患儿的情况,她被诊断为 SV 生理学和下腔静脉断流,并伴有异向综合征,因此需要进行川岛手术和肝静脉改道,并说明了围手术期 TEE 在描述解剖结构、决策和确认修复成功方面的重要性。
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Transesophageal Echocardiographic Assessment of Single Ventricle Physiology with Interrupted Inferior Vena Cava in a Case of Heterotaxy Syndrome Posted for Kawashima Procedure and Hepatic Vein Rerouting
Transesophageal echocardiography (TEE) is essential in delineating the anatomy, physiology, and perioperative management of single ventricle (SV) lesions. SV lesion is commonly associated with heterotaxy syndrome causing abnormal lateralization of organs across the body’s left-right axis. It is manifested as right atrial or left atrial isomerism. Patients with SV physiology require the Glenn procedure for surgical palliation whereas Fontan operation as definitive intervention. However, in a patient with interrupted inferior vena cava (IVC), the Kawashima procedure is used for definitive palliation. We report a 15-year-old female child diagnosed with SV physiology and interrupted IVC in association with heterotaxy syndrome posted for the Kawashima procedure and hepatic vein rerouting and illustrate the importance of perioperative TEE in delineating the anatomy, decision-making, and confirming the success of repair.
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