Wauthy Pierre, Demanet Hélène, Sanoussi Ahmed, Deuvaert Frank E
Department of Cardiac Surgery, Hopital Universitaire des Enfants Reine Fabiola, Brussels, Belgium.
Ann Thorac Surg. 2009 Jul;88(1):313-4. doi: 10.1016/j.athoracsur.2008.08.002.
Accurate ventricular septal defect patch sizing and tailoring remain challenging in many surgical procedures. Surgical exposure frequently limits complete visualization of the ventricular septal defect. Moreover, examination of the heart cavity under cardioplegic arrest may lead to skewed appreciation of the ventricular septal defect caliber and shape. Here we describe a simple and safe surgical tip to predict the size and shape of the ventricular septal defect patch in Taussig-Bing malformation before starting extracorporeal circulation. The patch should be circular with a diameter equal to the under pressure, proximal, pulmonary artery diameter.
在许多外科手术中，准确确定室间隔缺损补片的尺寸并进行裁剪仍然具有挑战性。手术暴露常常限制对室间隔缺损的完全可视化。此外，在心脏停搏状态下对心腔进行检查可能会导致对室间隔缺损口径和形状的判断出现偏差。在此，我们描述一种简单且安全的手术技巧，用于在开始体外循环前预测法洛四联症中室间隔缺损补片的尺寸和形状。补片应为圆形，其直径应等于受压的近端肺动脉直径。
