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标题: Case: CHD/ToF; complication after surgery [打印本页]

作者: dibesh87    时间: 2009-8-18 14:01
标题: Case: CHD/ToF; complication after surgery
13 year old female, diagnosed with ToF. History unremarkable for coexisting disease. At the end of the surgery, we measured the right ventricular and main pulmonary arterial pressure. They were found to be around 76/3 (33) mmHg and 51/18 (27) mmHg respectively. The ABP was 79/55 (65) mmHg. It is clear that the RV and MPA pressures are much higher than normal. But why?
作者: www.ane    时间: 2009-8-18 16:16
造成右室和肺动脉压高的原因可能是:残余右心室流出道梗阻,右心衰竭,肺水肿,通过支气管肺动脉侧枝或残余室间隔缺损造成肺血流过多。楼主不妨从这几个方面找一找。
作者: 心超    时间: 2009-8-18 18:00
2# www.ane

这个病例没有VSD残余分流,有残余梗阻,因为保留了瓣环,内径为14mm的瓣环处有25mmHg 的压差,有体肺侧枝,但原因很意外,
作者: jerryzhjj    时间: 2016-12-23 21:10
Thnak you for the correction
作者: jerryzhjj    时间: 2016-12-23 21:10
Thnak you for the correction




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