先天性纠正型大动脉错位伴Ⅲ度房室传导阻滞的心脏起搏  

Ⅲ^0 atrial-ventricular block in an adult with corrected transposition of the great arteries treated with permanent pacemaker

作　　者：汤华[1] 李健[1] 黄智慧[1] 

机构地区：[1]南京医科大学第三附属医院心脏科,江苏省仪征市211900

出　　处：《中国医药》2011年第1期32-33,共2页China Medicine

摘　　要：目的 通过总结临床经验和分析文献资料,提高对先天性纠正型大动脉错位合并Ⅲ度房室阻滞起搏器治疗水平.方法 在总结我院诊治的先天性纠正型大动脉错位合并Ⅲ度房室阻滞的起搏治疗临床经验的基础上,复习文献资料,总结先天性纠正型大动脉错位合并Ⅲ度房室阻滞起搏器安装的最佳方法.结果 通过对先天性纠正型大动脉错位合并Ⅲ度房室阻滞患者的起搏器安装治疗,熟悉患者的解剖影像学和传导系统的异常,制定合理可行的手术方案,能更好地减少起搏器电极脱位等起搏并发症的发生.结论 给先天性纠正型大动脉错位患者安装心脏起搏器时熟悉复杂心脏畸形影像学的知识是保证安置术的成功的关键.Objective To observe the impact of complete heart block in an adult with congenitally corrected Transposition of the Great Arteries（cc-TGA） treated with permanent pacemaker. Methods We summarized our experience of treating complete heart block in cc-TGA with pacemaker. Results Implantation complications such as electrode dislocation in treating complete heart block with cc-TGA by pacemaker implantation could be reduced via getting acquaintance of anatomical and radiological abnormalities and setting reasonable operation programs. Conclusions Acquaintance of the radiological features of complicated heart malformation should be the key to ensure the success of pacemaker implantation treating complete heart block with cc-TGA.

关 键 词：先天性心脏病 先天性纠正型大动脉错位 房室阻滞 VVI起搏 

分 类 号：R541.1[医药卫生—心血管疾病]