11例Ebstein心脏畸形的外科治疗  

Surgical treatment of 11 cases of Ebstein's anomaly

作　　者：王维新[1] 解士胜[1] 万士杰[1] 仲京[1] 陈元恒[1] 徐金星[1] 

机构地区：[1]空军总医院心血管外科,北京100036

出　　处：《空军总医院学报》2000年第2期71-73,共3页Journal of General Hospital of Air Force,PLA

摘　　要：目的 :总结 11例 Ebstein心脏畸形 12次手术治疗的经验。　方法 :体外循环下手术行房化心室折叠 11例 ,部分三尖瓣成形 9例 ,三尖瓣替换 3例 ,闭合房缺或卵圆孔未闭 6例 ,部分右房壁切除 3例。　结果 :无手术死亡。随访 0 .5～ 10年 ,无死亡。心功能 级 10例。 级 1例 ,为重度三尖瓣关闭不全 ,再次手术 ,行三尖瓣替换 ,恢复良好 ,心功能 级。　结论 :Ebstein心脏畸形患者应当尽早接受手术治疗 ,矫正心脏畸形要彻底 ,积极防治心律失常。Objective: To review the experience in surgical treatment of 11 cases with Ebstein's anomaly. Method Surgical procedures performed under the general cardiopulmonary bypass included plication of atrialized right ventricale in 11 cases, DeVega's annuloplasty of tricuspid valve in 9 cases, tricuspid valve replacement in 3 cases, closure of atrial septal defect or opening foramen ovale in 6 cases, partial excision of right atrial wall in 3 cases. Results There was neither operative nor long time death du ring the 0.5～10 year follow up. Heart function of 10 patients is NYHA class I, one patient with heart function class IV received re operation because of the serious tricuspid regurgitation. Conclusion The patients with Ebstein's anomaly should received surgical treatment as early as possible, and anomaly should be corrected thoroughly and arrhythmia prevented and treated actively during or post operation.

关 键 词：EBSTEIN心脏畸形 体外循环 心脏外科学 先天性心脏病 心律失常 

分 类 号：R541.1[医药卫生—心血管疾病] R654.2[医药卫生—内科学]