此复杂先心病现在能手术吗？

eliaoxu

<p>医生：</p><p>&nbsp;&nbsp;&nbsp;&nbsp; 我孩子出生于2000年12月，于去年8月在医学中心造影检查，影像号60660503，当时经内外科医生会诊说不能手术，现在已过了近一年，他的病现在能手术吗？如还是不能手术，我该咋办？能给我在平时带孩子、疾病发作时咋办的一些建议吗？</p><p>&nbsp;&nbsp;&nbsp; 附（造影报告）</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 楷体_GB2312;">造影体位：<place wst="on"><city wst="on"><span lang="EN-US">LV</span></city></place><span lang="EN-US">(C20/L60+R30)RV(Cr40+LAT)AAO(Cr40+LAT)AO(Cr40+LAT)<p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt; LINE-HEIGHT: 150%;"><span style="FONT-SIZE: 12pt; LINE-HEIGHT: 150%; FONT-FAMILY: 楷体_GB2312;">造影所见：左心室造影见单一连接不良型室间隔缺损，约<chmetcnv wst="on" unitname="mm" sourcevalue="15.1" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">15.1mm</span></chmetcnv>，左心室发育可，冠状动脉未见异常，主动脉骑跨；主动脉造影，左位主动脉弓，可见较多侧枝血管供应左右肺血，左右肺动脉迟相显影，左右肺动脉发育差，有汇合，肺动脉总干不明显，右肺动脉起始部约<chmetcnv wst="on" unitname="mm" sourcevalue="3.7" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">3.7mm</span></chmetcnv>，近分叉处约<chmetcnv wst="on" unitname="mm" sourcevalue="2.4" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">2.4mm</span></chmetcnv>，左肺动脉起始部约<chmetcnv wst="on" unitname="mm" sourcevalue="3.8" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">3.8mm</span></chmetcnv>，近分叉处约<chmetcnv wst="on" unitname="mm" sourcevalue="3.1" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">3.1mm</span></chmetcnv>，降主动脉横隔水平直径约<chmetcnv wst="on" unitname="mm" sourcevalue="12.6" hasspace="False" negative="False" numbertype="1" tcsc="0"><span lang="EN-US">12.6mm</span></chmetcnv>，无动脉导管未闭及主动脉缩窄；右心室造影，见肺动脉瓣闭锁，经肺循环，心房水平未见明显分流。<span lang="EN-US"><p></p></span></span></p><p><span lang="EN-US" style="FONT-SIZE: 12pt; FONT-FAMILY: 楷体_GB2312; mso-font-kerning: 1.0pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></span><span style="FONT-SIZE: 12pt; FONT-FAMILY: 楷体_GB2312; mso-font-kerning: 1.0pt; mso-hansi-font-family: &quot;Times New Roman&quot;; mso-bidi-font-family: &quot;Times New Roman&quot;; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">影像诊断：<span lang="EN-US">PA/VSD</span>，左右肺动脉发育差，侧枝血管。</span></p>

陆医生

肺动脉发育看起来很差，没有手术指证。