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[在Ross手术中修补右心室后壁的粗糙表面以防止出血并确认管道的吻合]

[Patching of the raw surface of the posterior right ventricular wall in Ross procedure to prevent bleeding and to confirm anastomosis of the conduit].

作者信息

Murakami J, Imoto Y, Shiokawa Y, Kanegae Y, Tokunaga S, Minami K, Kajihara N, Kado H

机构信息

Cardiovascular Surgery, Fukuoka Children's Hospital, Japan.

出版信息

Kyobu Geka. 2000 Nov;53(12):1016-8.

Abstract

An 8-year-old boy underwent Ross procedure to repair aortic regurgitation and subaortic stenosis. In reconstruction of the right ventricular outflow tract, the raw surface of the right ventricular posterior wall was covered with autologous pericardial patch to prevent bleeding and to confirm the anastomosis of the pulmonary tract conduit made of expanded polytetrafluoroethylene. Bleeding from the posterior wall was absent and he led uneventful postoperative course. Same technique was used in 4 other patients, and satisfactory results were obtained. This technique, first reported from India, seems very useful in Ross procedure.

摘要

一名8岁男孩接受了罗斯手术以修复主动脉瓣反流和主动脉瓣下狭窄。在右心室流出道重建过程中,用自体心包补片覆盖右心室后壁的粗糙面,以防止出血,并确认由膨体聚四氟乙烯制成的肺动脉导管的吻合情况。后壁无出血,术后过程顺利。另外4例患者采用了相同的技术,均取得了满意的效果。这项首次由印度报道的技术,在罗斯手术中似乎非常有用。

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