不使用导管成功修复室间隔缺损合并肺动脉闭锁：一种新的手术选择。两例报告。
Successful repair of pulmonary atresia with ventricular septal defect without the use of a conduit: a new surgical option. Report of two cases.
作者信息
al-Halees Z, Galal O, Wilson N
机构信息
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
出版信息
Br Heart J. 1992 Sep;68(3):320-2. doi: 10.1136/hrt.68.9.320.
Abstract
A new technique for the restoration of continuity between the pulmonary artery and the right ventricle in pulmonary atresia with ventricular septal defect without the use of a conduit is described. This was accomplished by anastomosing the inferior margin of the distal pulmonary artery to the apex of a T-shaped infundibular ventriculotomy to form the posterior wall of the reconstructed right ventricular outflow tract. A winged patch of bovine pericardium was then used for the anterior wall to complete reconstruction of the transannular right ventricular outflow tract. This technique was used successfully in two patients.
摘要
描述了一种在室间隔缺损的肺动脉闭锁中不使用导管恢复肺动脉与右心室连续性的新技术。这是通过将远端肺动脉的下缘与T形漏斗部心室切开术的顶点吻合，形成重建的右心室流出道的后壁来实现的。然后使用一片带翼的牛心包补片作为前壁，完成经瓣环右心室流出道的重建。该技术在两名患者中成功应用。
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