Isomura T, Hisatomi K, Inuzuka H, Hirano A, Matsuzoe S, Kawara T, Ohishi K, Koga M
Second Department of Surgery, Kurume University Hospital, Fukuoka, Japan.
Surg Today. 1992;22(5):432-4. doi: 10.1007/BF00308793.
During the last 10 years, complete correction of the tetralogy of Fallot (TOF) has been performed on 28 adult patients using the "separated extracorporeal circulation" (separated ECC) technique developed by us. In addition to the usual ascending aortic and dual right arterial cannulations for ECC, the separated ECC also involved femoral arterial cannulation and the insertion of a catheter with two balloons via the other femoral artery. Flow via the ascending aorta and femoral artery were maintained separately during ECC. The urine output during separated ECC was significantly better than that during ordinary ECC (P < 0.01) and the operative field for intracardiac correction was clearer as a result of blocking the collateral circulation. Thus we believe separated ECC to be a superior method for total correction of TOF in adults, which may enhance the operative outcome.
在过去10年中，我们使用自行研发的“分离式体外循环”（separated ECC）技术，对28例成年法洛四联症（TOF）患者进行了根治性矫正手术。除了常规的升主动脉插管和双腔右动脉插管用于体外循环外，分离式体外循环还包括股动脉插管，并通过另一侧股动脉插入带有两个球囊的导管。在体外循环期间，升主动脉和股动脉的血流分别维持。分离式体外循环期间的尿量明显优于普通体外循环期间（P<0.01），并且由于阻断了侧支循环，心内矫正的手术视野更清晰。因此，我们认为分离式体外循环是成人法洛四联症根治的一种优越方法，可能会提高手术效果。
