19例三房心的病理解剖和外科治疗

Cor Triatriatum:Pathological Morphology and Surgical Results in 19 Patients

为探讨三房心的病理解剖特点和外科治疗经验，总结１９８３年１２月至１９９５年７月，１９例三房心病人施行外科治疗的结果。年龄为１０个月～２４岁，术前确诊率为７３．７％，合并其他心内畸形１８例（９４．７％），手术死亡１例，手术死亡率为５．３％。作者认为，三房心是一种罕见的心脏畸形，多合并各种心内畸形，手术切除左心房内隔膜并同期矫治各种合并心内畸形是有效的治疗方法。

Aim:This paper is to summarize the experience of surgical treatment of cor triatriatum.Method:Nineteen patients,11 male and 8 femal with age from 10 months to 24 years,were studied.18 patients(94.7%) associated with other cardiovascular abnormalities.Diagnosis was made in 14 patients(73.7%)preoperatively.Cor triatriatum and other abnormalities were surgically corrected simultaneously.Result:One patient(5.3%)died early after surgery.No late death occurred in 18 survivals.Conclusion:Cor triatriatum and associated heart defects should be simultaneously corrected.