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Surgical Correction of Sinus Venosus Atrial Septal Defect Associated with Partial Anomalous Pulmonary Venous Connection to High Superior Vena Cava-Case Report

靜脈竇型心房中隔缺損併部份肺靜脈回流異常注入高位上腔靜脈之外科矯治-病例報告

摘要


一位63歲婦人主訴全身無力、失眠,而來院求診。經心臟超音波診斷出有心房中膈缺損。半年之後,因喘漸漸加劇,始安排一系列檢查。靜脈竇型心房中膈缺損併部份肺靜脈回流異常注入高位上腔靜脈及左側上腔靜脈方被發現,隨即進行外科矯治手術,住院病程平穩,術後 1 田固月,病況逐漸改善。靜脈竇型心房中膈缺損併部份肺靜脈回流異常注入高位上腔靜脈之外科矯治易產生一些手術後併發症:如心房性不整脈,殘餘心房分流,上腔靜脈血流或肺靜脈血流阻塞。本病例追蹤迄今,尚無此現象,特提出此報告。

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並列摘要


A 63-year-old woman complained of general malaise and insomnia initially. Atrial septal defect was diagnosed by transthoracic echocardiography thereafter. She had not received complete cardiac studies until progressive dyspnea was noted half a year later. After a series of examinations, sinus venosus type atrial septal defect (ASD) associated with partial anomalous pulmonary venous connection to high superior vena cava (SVC) and persistent left SVC was documented. Surgical correction was performed later. The postoperative course was smooth and her condition improved gradually at 10-month follwo-up.

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