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作 者:陈瑞[1] 邢泉生[1] 张浩[2] 李守军 国家心血管病专家委员会先天性心脏病专业委员会 CHEN Rui;XING Quansheng;ZHANG Hao;LI Shoujun;Representatives of National Society for Congenital Heart Disease(Cardiac Center,Women and Children’s Hospital,Qingdao University,Qingdao,266034,Shandong,P.R.China;Department of Cardiothoracic Surgery,Shanghai Children’s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai,200127,P.R.China;Department of Pediatric Cardiac Surgery,Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,P.R.China;不详)
机构地区:[1]青岛大学附属妇女儿童医院心脏中心,山东青岛266034 [2]上海交通大学医学院附属上海儿童医学中心心胸外科,上海200127 [3]中国医学科学院阜外医院小儿外科中心,北京100037 [4]不详
出 处:《中国胸心血管外科临床杂志》2024年第10期1385-1391,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
摘 要:完全性肺静脉异位引流(total anomalous pulmonary venous connection,TAPVC)是少见的复杂先天性心脏病,其解剖特点为左右肺静脉均不汇入左心房,而是直接或间接通过异常血管汇入体静脉循环或者右心房。目前此疾病诊断标准基本统一,但对外科治疗的手术时机、手术方法以及术后再干预方案尚存争议。本文根据文献提供的循证资料并结合国内专家意见,制定中国专家共识,以进一步规范TAPVC的外科治疗。Total anomalous pulmonary venous connection(TAPVC)is a relatively rare but complex congenital heart disease characterized by the anomalous drainage of the pulmonary veins.Rather than connecting to the left atrium,the pulmonary veins drain either directly or indirectly into the systemic venous circulation or the right atrium via abnormal pathways.While there is broad consensus on the diagnostic criteria for TAPVC,significant debate persists regarding the optimal timing of surgical intervention,preferred surgical techniques,and postoperative management including re-intervention strategies.This article formulates a Chinese consensus based on evidence-based data from the literature and opinions from domestic experts,with the goal of further standardizing the surgical treatment of TAPVC in China.
关 键 词:先天性心脏病 完全性肺静脉异位引流 专家共识
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