Suarez Maria R, Panos Anthony L, Salerno Tomas A, Ricci Marco
Holtz Children's Hospital/Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida, USA.
J Card Surg. 2009 Sep-Oct;24(5):564-6. doi: 10.1111/j.1540-8191.2009.00886.x.
Repair of total anomalous pulmonary venous connection (TAPVC) is associated with a risk of recurrent pulmonary venous obstruction. In this article we describe a technique of primary repair using a posterior approach in which a modified sutureless anastomosis is constructed by suturing the left atrium to the posterior pericardium that surrounds the pulmonary venous confluence. This technique avoids trauma to the pulmonary venous wall and minimizes the risk of distortion of the anastomosis, factors that have been implicated in the occurrence of subsequent pulmonary venous obstruction.
完全性肺静脉异位连接（TAPVC）修复术存在复发性肺静脉梗阻的风险。在本文中，我们描述了一种采用后路的一期修复技术，即通过将左心房缝合至围绕肺静脉汇合处的后心包来构建改良的无缝合吻合术。该技术避免了对肺静脉壁的创伤，并将吻合口变形的风险降至最低，而这些因素与随后发生的肺静脉梗阻有关。
