先天性连枷状三尖瓣小叶,一个具有挑战性的手术决定。病例报告及文献回顾

Ali A. Alakhfash, K. Alhawri, Abdullah Alqwaiee, A. Almesned, Bana Nasser, Marwan Alhawbani, Mohammed Hasab Elnabi
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先天性连枷状三尖瓣小叶,一个具有挑战性的手术决定。病例报告及文献回顾。儿科学,围产期与儿童健康杂志5(2021):211-220。背景:先天性严重三尖瓣(TV)功能不全继发于乳头肌破裂或腱索破裂。严重三尖瓣Ebstein异常,肺部血流量减少导致严重紫绀。与Ebstein畸形相比,没有三尖瓣小叶的顶端移位。病例介绍:我们提出一个新生儿难治性新生儿紫绀出生后立即由于先天性连枷电视小叶。成功的手术修复电视改善了电视功能,具有良好的即时、短期和中期效果。结论:电视修复术是电视发育不良伴索、连枷小叶断裂的最佳手术选择,具有良好的即时、中短期疗效。
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Congenital Flail Tricuspid Valve Leaflet, A Challenging Surgical Decision. Case Report, and Literature Review
Congenital Flail Tricuspid Valve Leaflet, A Challenging Surgical Decision. Case Report, and Literature Review. Journal of Pediatrics, Perinatology and Child Health 5 (2021): 211-220. Abstract Background: Congenital severe tricuspid valve (TV) insufficiency secondary to ruptured papillary muscle or ruptured chordae tendineae Health of severe Ebstein anomaly of the TV, with severe cyanosis due to reduced pulmonary blood flow. Compared to Ebstein anomaly, there is no apical displacement of the tricuspid valve leaflets. Case presentation: We are presenting a neonate with refractory neonatal cyanosis immediately after birth due to congenital flail TV leaflets. A successful surgical repair of the TV improved the TV function with excellent immediate, short and midterm outcomes. Conclusions: TV repair is the best surgical option for TV dysplasia with ruptured chordae and flail leaflets, with good immediate as well as short and mid-term outcomes.
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