{"title":"一例18个月大单脑室解剖患者的成功室间隔和二尖瓣修复。","authors":"Swati Garekar, Shyam Dhake, Sachin Patil, Amit Mhatre, Dinesh Kandevel, Dhananjay Malankar","doi":"10.1007/s12055-025-01954-3","DOIUrl":null,"url":null,"abstract":"<p><p>Single ventricle anatomy, with two atrioventricular valves opening into two ventricles but with a large portion of the septum missing, is typically managed via staged single ventricle palliation. We present a case where ventricular septation and mitral valve repair were successfully achieved. A 3-month-old infant presented with cachexia and pneumonia. Echocardiography revealed a large ventricular septal defect (VSD) occupying most of the septum. The right ventricle (RV) was bipartite. Severe mitral regurgitation developed post pulmonary artery (PA) banding. After careful assessment and consideration, at 18 months of age, the patient underwent successful mitral valve repair, ventricular septation, and PA debanding. This case highlights the potential for achieving biventricular repair in select patients with single ventricle anatomy.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 9","pages":"1185-1188"},"PeriodicalIF":0.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373611/pdf/","citationCount":"0","resultStr":"{\"title\":\"Successful ventricular septation and mitral valve repair in an 18-month-old with a single ventricle anatomy.\",\"authors\":\"Swati Garekar, Shyam Dhake, Sachin Patil, Amit Mhatre, Dinesh Kandevel, Dhananjay Malankar\",\"doi\":\"10.1007/s12055-025-01954-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Single ventricle anatomy, with two atrioventricular valves opening into two ventricles but with a large portion of the septum missing, is typically managed via staged single ventricle palliation. We present a case where ventricular septation and mitral valve repair were successfully achieved. A 3-month-old infant presented with cachexia and pneumonia. Echocardiography revealed a large ventricular septal defect (VSD) occupying most of the septum. The right ventricle (RV) was bipartite. Severe mitral regurgitation developed post pulmonary artery (PA) banding. After careful assessment and consideration, at 18 months of age, the patient underwent successful mitral valve repair, ventricular septation, and PA debanding. This case highlights the potential for achieving biventricular repair in select patients with single ventricle anatomy.</p>\",\"PeriodicalId\":13285,\"journal\":{\"name\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"volume\":\"41 9\",\"pages\":\"1185-1188\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373611/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s12055-025-01954-3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/29 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12055-025-01954-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/29 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Successful ventricular septation and mitral valve repair in an 18-month-old with a single ventricle anatomy.
Single ventricle anatomy, with two atrioventricular valves opening into two ventricles but with a large portion of the septum missing, is typically managed via staged single ventricle palliation. We present a case where ventricular septation and mitral valve repair were successfully achieved. A 3-month-old infant presented with cachexia and pneumonia. Echocardiography revealed a large ventricular septal defect (VSD) occupying most of the septum. The right ventricle (RV) was bipartite. Severe mitral regurgitation developed post pulmonary artery (PA) banding. After careful assessment and consideration, at 18 months of age, the patient underwent successful mitral valve repair, ventricular septation, and PA debanding. This case highlights the potential for achieving biventricular repair in select patients with single ventricle anatomy.
期刊介绍：
The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
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