医学
左心发育不良综合征
心脏病学
房间隔
子宫内
内科学
胸骨正中切开术
房间隔
外科
胎儿
左心房
怀孕
心脏病
生物
遗传学
心房颤动
作者
Isabel Cristina Sánchez Escobar,Manuel Alejandro Giraldo-Pinto,Alejandro Quintero Gómez,Andrea L. Arias,Anthony de la Pena,R. García,Jorge Gutiérrez,Andrés Jaime Uribe,Rafael Lince-Varela,Miguel Ruz Montes,Juan Alberto Espinal,Rafael Correa-Velásquez
标识
DOI:10.1177/21501351231196484
摘要
Patients with hypoplastic left heart syndrome (HLHS) with intact atrial septum have an increased mortality rate. This presentation occurs in 6% to 10% of cases. We present a patient with fetal diagnosis of HLHS with restrictive atrial septum. We performed a cesarean section at 37 weeks of gestation, and under ex utero intrapartum treatment proceeded with a median sternotomy and transatrial stenting for left atrial decompression due to findings of intact atrial septum on the fetal echocardiogram performed during the procedure. Subsequently, the patient underwent hybrid stage I palliation followed by a comprehensive stage II procedure at five months of age, but unfortunately died from postoperative complications.
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