A Rare Case of Secundum Atrial Septal Defect with Intractable Heart Failure after Coarctectomy by an Infant

Z. Vassileva
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Abstract

We present a case of resistant to medical treatment heart failure due to significant shunting through a secundum atrial septal defect by a 3-month old infant who underwent coarctectomy due to critical coarctation of the aorta at the age of 15 days. The tachydyspnea and failure to thrive persisted despite the successful resection of the coarctation and resolved very rapidly after subsequent operative closure of the atrial septal defect.
婴儿房间隔切除术后继发性房间隔缺损并发顽固性心力衰竭1例
我们报告了一例因一名3个月大的婴儿在15天大时因主动脉严重缩窄而接受缩窄切除术,导致其通过继发性房间隔缺损进行显著分流,从而导致对药物治疗产生耐药性的心力衰竭。尽管成功切除了缩窄,但快速呼吸困难和发育不良仍然存在,并在随后的房间隔缺损手术闭合后迅速缓解。
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