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- Transatrial Repair of Perimembranous Ventricular Septal Defects
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頁籤選單縮合
題 名 | Transatrial Repair of Perimembranous Ventricular Septal Defects=經由右心房來修補「邊緣膜性」心室中隔缺損 |
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作 者 | 蔡朝仁; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:5 1988.09[民77.09] |
頁 次 | 頁576-583 |
分類號 | 416.262 |
關鍵詞 | 右心房; 邊緣膜性心室中隔缺損; |
語 文 | 英文(English) |
中文摘要 | 先天性心臟病心室中隔缺損的位置,倘若缺損的部位:上緣是主動脈的出口,而且靠近三尖瓣處包括過緣膜性的部份(membranous portion),下緣是心室肌肉所構成,這種心室中隔缺損的位置在新的分類命名法上屬於「邊緣膜性」心室中隔缺損(perimembranous type VSD)。由於心導管與超音波的正確診斷,我們可以經由右心房來修補所造成右心室損傷。從民國75年3月至民國76年8月止,我們修補了19位這種病人,手術後病人恢復正常。 |
英文摘要 | Classical perimembranous type ventricular septal defect (VSD) was repaired by a transatrial approach in 19 of 34 patients treated surgically on a surgical service between March 1986 and August 1987. Among these, whose ages ranged from 4 months to 44 years, there were neither hospital, late deaths nor reoperations in the entire group. Postoperative cardiac 2-D echocardiography post-operative studies performed in all patients between 2 and 20 months showed no residual ventricular septal defects. This series indicates that successful repair of perimembranous-type VSD can be accomplished in most patients by a transatrial approach, which may provide improved long-term right ventricular function. |
本系統中英文摘要資訊取自各篇刊載內容。