[采用深度低温循环停止技术对一名20日龄、体重2175克新生儿的主肺动脉间隔缺损进行经主动脉修复术]

[Transaortic repair of aortopulmonary septal defect in neonate (20 days of age, 2175 gram) using profoundly hypothermic circulatory arrest].

作者信息

Shibuya M, Tatsuno K, Kikuchi T, Takahashi Y, Suzuki K, Mori K

机构信息

Division of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan.

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1991 Oct;39(10):1914-7.

PMID:1960434

Abstract

In a 20-days old girl, aortopulmonary septal defect (total defect type) was closed by transaortic patch repair with cardiopulmonary bypass (CPB). The postoperative course was uneventful, and she was discharged 43 days later. This is the youngest and lowest-weight case ever reported in Japan. Various procedures for aortopulmonary septal defect have been proposed with or without CPB. However, transaortic repair with the aid of profoundly hypothermic circulatory arrest seems to be the most preferable corrective surgery for total defect type of neonate and low-weight infant.

摘要

在一名20日龄女婴中，采用体外循环（CPB）经主动脉补片修补术闭合了主肺动脉间隔缺损（完全缺损型）。术后过程顺利，43天后出院。这是日本有报道以来年龄最小、体重最轻的病例。针对主肺动脉间隔缺损，已经提出了各种有或无CPB的手术方法。然而，借助深低温停循环的经主动脉修补术似乎是新生儿和低体重婴儿完全缺损型最理想的矫正手术。