Department of Pediatrics, Gunma University Graduate School of Medicine, Gunma, Japan.
Ann Thorac Surg. 2010 Mar;89(3):973-5. doi: 10.1016/j.athoracsur.2009.07.044.
We report a successful two-stage treatment for an infant with truncus arteriosus with aortic arch interruption. The treatment consisted of flow-adjustable bilateral pulmonary artery banding using clipping and postoperative balloon dilation, followed by staged repair. The merits of this strategy are as follows: (1) bilateral pulmonary artery banding is less invasive than neonatal one-stage repair; (2) use of cardiopulmonary bypass can be avoided in the newborn period; and (3) control of pulmonary blood flow adjusted for body size is possible. Although further studies are needed, our therapeutic strategy might provide a clinically important option for managing severe congenital heart disease.
我们报告了一例成功的两阶段治疗法，用于治疗患有主动脉弓中断的动脉干患儿。该治疗法包括使用夹闭的可调式双侧肺动脉带术和术后球囊扩张术，随后进行分期修复。该策略的优点如下：（1）双侧肺动脉带术比新生儿一期修复术的创伤性更小；（2）可以避免在新生儿期使用体外循环；（3）可以根据体型调整肺血流量的控制。虽然还需要进一步的研究，但我们的治疗策略可能为严重先天性心脏病的治疗提供了一个重要的临床选择。
