Aeba R, Katogi T, Moro K, Kawada S
Division of Cardiovascular Surgery, Keio University, Tokyo, Japan.
Thorac Cardiovasc Surg. 2000 Aug;48(4):243-4. doi: 10.1055/s-2000-6891.
We describe a 12-year-old patient with asplenia syndrome and gut malrotation who, after an interim step before a modified Fontan operation, developed life-threatening mediastinitis. A flap of the omentum arising from the transverse colon, longitudinally located in the left of the abdomen, was created and transferred to the mediastinum after a division of the arterial arcade at its most caudal extent. Her postoperative course was uneventful, and 12 months later, the modified Fontan operation was successfully completed. Although visceral heterotaxy results in an omental deformation, it does not preclude the use of an omental flap.
我们描述了一名患有无脾综合征和肠旋转不良的12岁患者，在改良Fontan手术前的一个中间步骤后，发生了危及生命的纵隔炎。取自横结肠的大网膜瓣纵向位于腹部左侧，在其最尾端的动脉弓切断后，将其转移至纵隔。她的术后过程平稳，12个月后，成功完成了改良Fontan手术。尽管内脏异位会导致大网膜变形，但这并不妨碍使用大网膜瓣。
