在全腔肺连接后扭转与格伦相关的扩散性肺动脉静脉形:一个病例报告
Mengqi Zhao1, Xiaoya Zhang1, Enrui Zhang2
1Heart Center, The First Hospital of Tsinghua University, School of Clinical Medicine, Tsinghua University, Beijing, China.
Frontiers in cardiovascular medicine
|February 2, 2026
概括
扩散性肺动脉静脉形 (PAVMs) 是格伦手术后的一个严重并发症. 全腔肺连接 (TCPC) 有效地解决了PAVMs,并在儿科病例中改善了低氧症.
科学领域:
- 心脏病学 心脏病学
- 儿科手术 儿科手术
- 肺部医学 肺部医学
背景情况:
- 扩散性肺动脉静脉形形 (PAVMs) 是格伦手术后的一个罕见但严重的并发症.
- PAVMs可能导致渐进的低氧化,色,减弱的运动耐受性和心力衰竭.
研究的目的:
- 报告一例使用全腔肺连接 (TCPC) 进行术后PAVMs成功管理的病例.
- 强调在格伦手术后患有低氧血症的患者考虑PAVM的重要性.
主要方法:
- 一个案例报告,一个患有复杂先天性心脏病的8岁男孩接受了双向格伦手术.
- 广泛PAVMs的诊断得到证实,其次是心外全腔肺连接 (TCPC).
主要成果:
- 患者在TCPC后经历了PAVM的完全消失.
- 在3年的随访期间,氧和正常化,临床症状显著改善.
结论:
- 在Glenn手术后出现不明原因的低氧化症的患者中,应考虑术后的PAVM.
- 早期诊断和干预,如TCPC,可以带来有利的结果.
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