Sano S, Kawada M, Ishino K, Itou A, Yoshizumi K, Minami K, Kasahara S, Arai S, Ohtsuki S
Okayama University Graduate School of Medicine and Dentistry Department of Cardiovascular Surgery, Okayama, Japan.
Kyobu Geka. 2003 Apr;56(4):294-7.
To examine the mid term outcome of the lateral tunnel Fontan and the result is to be compared to extracardiac Fontan operation. Between March 1991 and May 2002, 72 lateral tunnel (LT) and 28 extracardiac conduit (EC) total cavopulmonary connection (TCPC) were performed. Right atrium was incised parallel to the sulcus terminalis and LT was created by using autologous right atrial wall. Lateral tunnel size was determined 1-2 mm larger than normal half pulmonary artery (PA) size according to the body weight. There were 1 early and 1 late death, both initial LT group. Supraventricular tachycardia was found in 1 patient with EC group and 4 in LT group (all heterotaxy syndrome). There were no differences in mortality and mobidity between LT and EC TCPC. Lateral tunnel TCPC is useful especially to small infants and children.
为研究侧隧道式Fontan手术的中期结果，并将结果与心外Fontan手术进行比较。1991年3月至2002年5月期间，共进行了72例侧隧道（LT）和28例心外管道（EC）全腔静脉-肺动脉连接（TCPC）手术。沿终沟平行切开右心房，使用自体右心房壁构建侧隧道。根据体重，侧隧道尺寸确定为比正常半肺动脉（PA）尺寸大1-2毫米。有1例早期死亡和1例晚期死亡，均在初始LT组。EC组有1例患者出现室上性心动过速，LT组有4例（均为异构综合征）。LT和EC TCPC在死亡率和发病率方面无差异。侧隧道TCPC尤其适用于小婴儿和儿童。
