[采用心外管道全腔静脉-肺动脉连接术治疗复杂先天性心脏病]

[Surgical treatment of complex congenital heart diseases with extracardiac conduit total cavopulmonary connection].

作者信息

Wu Qing-yu, Li Hong-yin, Zhang Ming-kui, Chen Xing-peng, Pan Guang-yu, Xi Ji-cheng, Xue Hui

机构信息

Department of Cardiac Surgery, the First Affiliated Hospital, Tsinghua University, Beijing 100016, China.

出版信息

Zhonghua Wai Ke Za Zhi. 2007 Jun 15;45(12):805-7.

PMID:17845775

Abstract

OBJECTIVE

To report the experience of extracardiac conduit total cavopulmonary connection (ECTCPC) in surgical treatment of complex congenital heart diseases.

METHODS

From 1998 to 2006, 68 patients underwent ECTCPC for complex congenital heart diseases. Among them, 45 had functional univentricle with transposition of the great artery (TGA) and pulmonary artery valve stenosis, 19 had tricuspid atresia with hypoplasia of right ventricle, 4 had Ebstein's anomaly with hypoplasia of right ventricle. Six had left superior vena cava, 18 had received Bidirectional Glenn operation; Fifty-seven cases were performed under cardiopulmonary bypass with general anesthesia and hypothermia, 11 cases were performed without cardiopulmonary bypass.

RESULTS

There were two death, the mortality was 2.9%. All patients were followed up from 1 to 8 years with no clinical symptoms and have been doing well. The arterial oxygen saturation was 90% - 96%, the cardiac function were in NYHA class I - II.

CONCLUSION

The extra cardiac conduit TCPC is a simple procedure and superior to other type of Fontan procedure in most patients.

摘要

目的

报告心外管道全腔静脉肺动脉连接术（ECTCPC）治疗复杂先天性心脏病的经验。

方法

1998年至2006年，68例患者接受ECTCPC治疗复杂先天性心脏病。其中，45例为功能性单心室合并大动脉转位（TGA）及肺动脉瓣狭窄，19例为三尖瓣闭锁合并右心室发育不良，4例为埃布斯坦畸形合并右心室发育不良。6例有左上腔静脉，18例接受过双向格林手术；57例在体外循环、全身麻醉和低温下进行手术，11例未进行体外循环。