Devaney Eric J, Ohye Richard G, Bove Edward L
Section of Cardiac Surgery, Division of Pediatric Cardiac Surgery, University of Michigan School of Medicine, Ann Arbor, MI 48109, USA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006:51-5. doi: 10.1053/j.pcsu.2006.02.023.
Pulmonary vein stenosis may occur following the repair of total anomalous pulmonary venous connection and carries a poor prognosis. Conventional surgical therapies have been complicated by a high rate of re-stenosis. Sutureless pericardial marsupialization has been introduced as a technique to reduce the rate of re-stenosis. This report describes a retrospective review of a group of patients undergoing repair of acquired pulmonary vein stenosis. Presence of single-ventricle anatomy was found to be the primary preoperative risk factor for a poor outcome. The use of sutureless pericardial marsupialization was found to be associated with a significant improvement in disease-free survival.
肺静脉狭窄可能发生在完全性肺静脉异位连接修复术后，预后较差。传统手术治疗因再狭窄率高而较为复杂。无缝合心包开窗术已作为一种降低再狭窄率的技术被引入。本报告描述了一组接受后天性肺静脉狭窄修复患者的回顾性研究。发现单心室解剖结构是术前预后不良的主要危险因素。结果发现，使用无缝合心包开窗术可显著提高无病生存率。
