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保留动脉导管的分期斯塔尔内斯手术用于治疗患有埃布斯坦畸形和肺动脉闭锁的新生儿

Staged Starnes Operation Preserving Patent Ductus Arteriosus for Neonates with Ebstein's Anomaly and Pulmonary Atresia.

作者信息

Kawahira Yoichi, Nishigaki Kyoichi, Ozawa Hideto, Suzuki Tsugutoshi

机构信息

Department of Pediatric Cardiovascular Surgery, Osaka City General Hospital, 2-13-22 Miyakojimahondori, Miyakojimaku, Osaka-city, Osaka, 534-0021, Japan.

出版信息

Curr Cardiol Rev. 2008 May;4(2):81-3. doi: 10.2174/157340308784245829.

DOI:10.2174/157340308784245829
PMID:19936281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2779355/
Abstract

We herein reported 2 successful neonates with Ebstein's anomaly and small pulmonary arteries undergoing Starnes operation preserving the patent ductus arteriosus. Subsequent Blalock-Taussig shunt was carried out 1 or 2 months after the first surgery. One case had already undergone a successful Fontan operation, and the other had a successful bidirectional Glenn shunt so far. This staged Starnes strategy might be a safe and simple choice for neonates with Ebstein's anomaly and small pulmonary arteries.

摘要

我们在此报告了2例患有埃布斯坦畸形且肺动脉细小的新生儿成功接受了保留动脉导管的斯塔尼斯手术。首次手术后1或2个月进行了后续的布莱洛克-陶西格分流术。其中1例已成功接受了方坦手术,另一例目前双向格林分流术成功。这种分期的斯塔尼斯策略对于患有埃布斯坦畸形和肺动脉细小的新生儿可能是一种安全且简单的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f82/2779355/fb1da6ddbf01/CCR-4-81_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f82/2779355/fb1da6ddbf01/CCR-4-81_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f82/2779355/fb1da6ddbf01/CCR-4-81_F1.jpg

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引用本文的文献

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Surgical treatment for neonatal Ebstein's anomaly with circular shunting.新生儿埃布斯坦畸形合并环状分流的手术治疗。
Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):886-8. doi: 10.1093/icvts/ivs061. Epub 2012 Feb 27.

本文引用的文献

1
Current surgical therapy for Ebstein anomaly in neonates.新生儿埃布斯坦畸形的当前外科治疗方法。
J Thorac Cardiovasc Surg. 2006 Dec;132(6):1285-90. doi: 10.1016/j.jtcvs.2006.08.044. Epub 2006 Oct 30.
2
Results of surgery for Ebstein anomaly: a multicenter study from the European Congenital Heart Surgeons Association.埃布斯坦畸形的手术结果:欧洲先天性心脏外科医生协会的多中心研究
J Thorac Cardiovasc Surg. 2006 Jul;132(1):50-7. doi: 10.1016/j.jtcvs.2005.10.062. Epub 2006 Jun 2.
3
Arrhythmia surgery in association with complex congenital heart repairs excluding patients with fontan conversion.
心律失常手术联合复杂先天性心脏病修复术,但不包括接受Fontan转换术的患者。
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2003;6:33-50. doi: 10.1053/pcsu.2003.50019.
4
Ebstein's anomaly appearing in the neonate. A new surgical approach.新生儿期出现的埃布斯坦畸形。一种新的手术方法。
J Thorac Cardiovasc Surg. 1991 Jun;101(6):1082-7.