日本小児循環器学会雑誌 Pediatric Cardiology and Cardiac Surgery

Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society of Pediatric Cardiology and Cardiac Surgery Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Pediatric Cardiology and Cardiac Surgery 31(5): 284-287 (2015)
doi:10.9794/jspccs.31.284

症例報告Case Report

心室中隔欠損症を合併した総肺静脈還流異常症2例の経験Two Surgical Cases of Total Anomalous Pulmonary Venous Connection with Ventricular Septal Defect

1長野県立こども病院心臓血管外科Department of Cardiovascular Surgery, Nagano Children's Hospital ◇ 〒399-8288 長野県安曇野市豊科3100番地3100 Toyoshina, Azumino-shi, Nagano 399-8288, Japan

2長野県立こども病院循環器小児科Department of Pediatric Cardiology, Nagano Children's Hospital ◇ 〒399-8288 長野県安曇野市豊科3100番地3100 Toyoshina, Azumino-shi, Nagano 399-8288, Japan

受付日:2015年3月16日Received: March 16, 2015
受理日:2015年7月22日Accepted: July 22, 2015
発行日:2015年9月1日Published: September 1, 2015
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内臓心房錯位症候群を除き,総肺静脈還流異常症(TAPVC)に心室中隔欠損症(VSD)が合併することは比較的稀である.術前診断を怠った場合は極めて術後管理に難渋する.術前診断の有無は極めて重要であり,今回,異なった経過を呈した2症例を報告する.

Excluding heterotaxy cases, total anomalous pulmonary venous connection (TAPVC) is rarely associated with ventricular septal defect (VSD). We encountered two combined surgical cases from a total of 52 TAPVC cases in our institution during the past 2 decades. Different postoperative courses were identified, and the importance of a preoperative diagnosis was stated.

Key words: total anomalous pulmonary venous connection; ventricular septal defect; pulmonary venous obstruction; postoperative care

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