1 cases of a rare one and a half of care of patients with ventricular correction of.docVIP

 PAGE \* MERGEFORMAT 5 1 cases of a rare one and a half of care of patients with ventricular correction of [Keywords:] right heart function In recent years, cardiac surgeons at home and abroad, for right heart dysfunction, but still have a certain function in patients with complex congenital heart disease, using bi-directional Glenn (Glenn) operation based on the correction of cardiac anomalies at the same time for treatment, and achieved satisfactory clinical effects, this method is called a half-ventricle correction surgery (one and a half ventricle repair) [1]. Such operations are rare in clinical practice, the report less. Our hospital in November 2005, succeeded in one cases of patients with complex congenital heart disease carried out a half-ventricle correction surgery, patient’s condition has markedly improved, hospital discharged 17 days. Post-operative care will now be reported as follows. A clinical data Patients, male, 16 years old, height 162cm, weight 42kg, the main reason was found lips cyanosis, shortness of breath, palpitations 14 years after the event treatment, the patient occurred 2 years after birth, cyanosis, after the event increased, palpitations, can not be rushed OK, I am pleased crouch, the above-mentioned symptoms of sexual heavier, and frequent upper respiratory tract infection, mental, physical development of children than the age difference, examination: clubbing, 3,4 intercostal sternum left edge palpable systolic thrill may be heard, and Ⅳ / 6 Ji loud rough systolic murmur to the apex and back conduction, P2 amp;lt;A2. ECG no obvious abnormalities. Cardiac ultrasound showed: congenital heart disease, ventricular septal defect (membranous), left to right shunt and right ventricular outflow tract starting the Department of narrow and small tricuspid valve ring 14mm, the right ventricle significantly reduced. Intraoperative right ventricular outflow tract obstruction was cleared with ventricular septal defect repair, bidirecti