Department of Pediatric and Congenital Cardiac Services, Greenlane Starship Childrens Hospital, Grafton, Auckland, New Zealand.
Heart Lung Circ. 2009 Dec;18(6):410-2. doi: 10.1016/j.hlc.2008.10.017. Epub 2008 Dec 31.
Adult survivors of surgically uncorrected complex tetralogy of Fallot [TOF] with multiple aorto-pulmonary coronary arteries [MAPCAs] are unusual and the development of severe aortic regurgitation [AR] due to endocarditis is a rare and difficult problem to manage. We report a successful hybrid approach utilising temporary balloon occlusion of the collaterals during the cross-clamp time as a strategy to allow adequate brain perfusion and safe aortic root replacement.
患有多发主动脉肺动脉侧支循环（MAPCAs）的未经手术矫正的复杂法洛四联症（TOF）的成年幸存者较为罕见，而因心内膜炎导致的严重主动脉瓣反流（AR）则是一个难以处理的罕见问题。我们报告了一种成功的杂交方法，即在交叉钳夹期间利用临时球囊闭塞侧支循环作为策略，以确保足够的脑灌注和安全的主动脉根部置换。
