完全性肺静脉异位引流术后肺静脉梗阻的危险因素

Risk factors for pulmonary venous obstruction after total anomalous pulmonary venous connection repair

完全性肺静脉异位引流(TAPVC)是一种罕见的先天性心脏病。该病本身的治疗及术后肺静脉梗阻(PVO)是困扰心外科医师的一个难题。本文旨在总结近几年来国内外关于TAPVC术后PVO的研究进展,阐述其定义、机制、病理分型、临床表现、诊断及危险因素,以期能够正确认识PVO,为选择合理治疗提供参考,降低术后PVO的发生。

Total anomalous pulmonary venous connection is a rare congenital heart disease.The treatment of the disease itself and postoperative pulmonary vein obstruction(PVO)is a difficult problem for cardiac surgeons.The purpose of this paper is to summarize the progress of research on PVO after TAPVC repair in recent years at home and abroad,and to describe its definition,mechanism,pathological typing,clinical manifestations,diagnosis,and risk factors,in order to be able to correctly understand PVO,provide opinions for choosing reasonable treatment and reduce the occurrence of postoperative PVO.