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采用后单叶瓣重建右心室流出道。

RECONSTRUCTION OF THE RIGHT VENTRICULAR OUTFLOW TRACT WITH A POSTERIOR MONOCUSP VALVE.

作者信息

Zavanella Claudio, Miyamoto Katsuhiko, Subramanian S

出版信息

Cardiovasc Dis. 1978 Jun;5(2):128-131.

PMID:15216063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC287718/
Abstract

Reconstruction of the right ventricular outflow tract with sections of pericardium or with Dacron patches often leads to pulmonary regurgitation. This report presents a technique for minimizing regurgitation by creating a single posterior leaflet using the patient's own valve. After incision of the pulmonary artery and valvular ring, the valve is brought forward to cover the opening of the reconstructed pulmonary artery. This time-saving technique avoids the risk of calcification which usually accompanies the use of homografts and heterografts.

摘要

使用心包切片或涤纶补片重建右心室流出道常常会导致肺动脉反流。本报告介绍了一种通过利用患者自身瓣膜制作单个后叶来尽量减少反流的技术。在切开肺动脉和瓣膜环后,将瓣膜向前牵拉以覆盖重建肺动脉的开口。这种节省时间的技术避免了通常与使用同种异体移植物和异种移植物相伴的钙化风险。

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RECONSTRUCTION OF THE RIGHT VENTRICULAR OUTFLOW TRACT WITH A POSTERIOR MONOCUSP VALVE.采用后单叶瓣重建右心室流出道。
Cardiovasc Dis. 1978 Jun;5(2):128-131.
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2
Tetralogy of fallot: yesterday and today.法洛四联症:过去与现在。
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本文引用的文献

1
Pulmonary arterial hypertension after repair of tetralogy of Fallot.法洛四联症修复术后的肺动脉高压
J Thorac Cardiovasc Surg. 1974 Jan;67(1):110-20.
2
The fate of reconstruction of the right ventricular outflow tract.右心室流出道重建的预后
J Thorac Cardiovasc Surg. 1973 Sep;66(3):361-74.
3
Use of valve-retaining homograft and heterograft patch for reconstruction of right ventricular outflow tract. Clinical experience in tetralogy of Fallot.
Ann Thorac Surg. 1972 Dec;14(6):615-25. doi: 10.1016/s0003-4975(10)65274-5.
4
Intracardiac repair of tetralogy of Fallot in patients under 5 years of age.5岁以下法洛四联症患者的心脏内修复术。
Ann Thorac Surg. 1974 Sep;18(3):228-40. doi: 10.1016/s0003-4975(10)64352-4.
5
Reoperation for residual defects after repair of tetralogy of Fallot.法洛四联症修复术后残余缺损的再次手术
Surgery. 1974 Dec;76(6):1010-7.