Bacha Emile A, Kalimi Robert, Starr Joanne P, Quinones Jose, Koenig Peter
Section of Cardiothoracic Surgery, Pediatric and Congenital Cardiac Surgery, The University of Chicago Children's Hospital, Chicago, Illinois, USA.
Ann Thorac Surg. 2004 Feb;77(2):734-6. doi: 10.1016/S0003-4975(03)01053-1.
Native supravalvar pulmonary stenosis is a rare anomaly, but iatrogenic supravalvar pulmonary stenosis occurs after various repairs for congenital heart disease with relative frequency. Surgical techniques such as patching carry the risk of restenosis. We describe a technique of repair using only autologous tissues that can be applied to both native and iatrogenic supravalvar pulmonary stenosis. There were no complications and no patient developed restenosis at follow-up. Autologous repair of supravalvar pulmonary stenosis is an effective technique.
原发性肺动脉瓣上狭窄是一种罕见的先天性畸形，但医源性肺动脉瓣上狭窄在先天性心脏病的各种修复术后相对常见。诸如补片修补等手术技术存在再狭窄的风险。我们描述了一种仅使用自体组织的修复技术，该技术可应用于原发性和医源性肺动脉瓣上狭窄。随访期间无并发症发生，也无患者出现再狭窄。肺动脉瓣上狭窄的自体修复是一种有效的技术。
