Norwood W I, Rosenthal A, Castaneda A R
J Thorac Cardiovasc Surg. 1976 Sep;72(3):454-7.
A perforated intracardiac prosthesis, and patch infundibuloplasty and annuloplasty were employed for the surgical management of an infant with tetralogy of Fallot, pulmonary atresia, and severe hypoplasia of the pulmonary arteries. This approach provides a means of decompression of the right ventricle in the immediate postoperative period. It allows sufficient systemic cardiac output while increasing pulmonary blood flow to relieve severe hypoxemia and cyanosis. In addition, the high risk of further compromise to the diminutive pulmonary arteries by a palliative shunt is avoided. A physiological basis for the use of this technique is discussed.
对于一名患有法洛四联症、肺动脉闭锁和严重肺动脉发育不全的婴儿，采用了心脏内假体穿孔、补片漏斗部成形术和瓣环成形术进行手术治疗。这种方法为术后即刻右心室减压提供了一种手段。它在增加肺血流量以缓解严重低氧血症和发绀的同时，能保证足够的体循环心输出量。此外，还避免了姑息性分流对微小肺动脉造成进一步损害的高风险。本文讨论了使用该技术的生理学基础。
