Sabbagh A H, Riveros M, Fritz J M, Fernandez J
Associates in Thoracic Surgery, Tucson, Arizona, USA.
Tex Heart Inst J. 1983 Jun;10(2):183-7.
A Fontan operation was performed on a 10-year-old child for correction of tricuspid atresia. A xenograft, valved conduit was used to establish continuity between the right atrium and the small right ventricle. Atrial and ventricular septal defects were repaired with Dacron patches. Two hours postoperatively, the patient suffered a cardiac arrest secondary to hypoxia and was successfully resuscitated. Partial recurrence of a right-to-left shunt at the atrial level necessitated the patient's return to surgery. The insufficient conduit was replaced and the leaking patches were resutured. The conduit was shortened to one-third its length, and the conduit valve was repositioned directly at the proximal end, over the right atriotomy. Ten months postoperatively, the patient remains in stable condition.
一名10岁儿童因三尖瓣闭锁接受了Fontan手术以进行矫正。使用了带瓣膜的异种移植管道来建立右心房与小右心室之间的连续性。房间隔和室间隔缺损用涤纶补片修复。术后两小时，患者因缺氧发生心脏骤停，经成功复苏。心房水平右向左分流部分复发，患者需要再次手术。更换了不足的管道，并重新缝合了渗漏的补片。管道缩短至其长度的三分之一，管道瓣膜直接重新定位在近端，位于右心房切开处上方。术后十个月，患者病情稳定。
