Galantowicz Mark, Cheatham John P
Department of Cardiothoracic Surgery, The Heart Center, Columbus Children's Hospital, Columbus, OH 43205, USA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2004;7:48-55. doi: 10.1053/j.pcsu.2004.02.006.
An ideal Fontan procedure would minimize complications while maximizing flow dynamics through the circuit. We report our early experience with a new combined surgical/transcatheter approach which enables a nonoperative, transcatheter Fontan completion. The conceptual rationale of this management strategy, as well as surgical and catheterization techniques, are discussed.
理想的Fontan手术应在将并发症降至最低的同时,使通过该循环的血流动力学达到最佳。我们报告了我们在一种新的外科手术/经导管联合方法方面的早期经验,该方法能够通过经导管完成非手术性Fontan手术。本文讨论了这种管理策略的概念原理以及手术和导管插入技术。