Carter G A
Department of Pediatrics, Section of Pediatric Cardiology, University of Iowa, Iowa City.
Angiology. 1976 Jul-Aug;27(7):463-7. doi: 10.1177/000331977602700707.
Prior to a Mustard repair for transposition of the great vessels, complete physiologic data of the pulmonary bed can be obtained by catheterization of the pulmonary artery with a "J" formed wire, and direct catheterization of the pulmonary veins via an atrial septal defect. Following "physiologic" repair ready access to the pulmonary veins is denied. Evaluation of the pulmonary venous pressure is of great importance, however, in differentiating pulmonary vascular disease from pulmonary hypertension secondary to patch obstruction of pulmonary venous return. This paper describes a technique of catheterization of the pulmonary veins following a Mustard repair for TGV.
在进行大动脉转位的Mustard修复手术之前，可通过使用“J”形钢丝经肺动脉插管以及经房间隔缺损直接插管至肺静脉来获取肺床的完整生理数据。在完成“生理性”修复后，就无法再轻易进入肺静脉了。然而，评估肺静脉压力对于区分肺血管疾病与因肺静脉回流补片阻塞继发的肺动脉高压非常重要。本文描述了一种在大动脉转位的Mustard修复术后进行肺静脉插管的技术。
