Cardiac Surgical Department, Wuhan Asia Heart Hospital, Wuhan, China.
Ann Thorac Surg. 2010 Apr;89(4):1314-6. doi: 10.1016/j.athoracsur.2009.05.082.
A new technique to repair tetralogy of Fallot or double-outlet right ventricle with an anomalous right coronary artery arising from the left anterior descending coronary artery and crossing the right ventricular outflow tract is described. The right coronary artery was mobilized, transected, and re-implanted into the ascending aorta. The right ventricular outflow tract and ventricle septal defect were repaired through a ventriculotomy and pulmonary arteriotomy. The right ventricular outflow tract and pulmonary annulus were reconstructed with a pericardial patch. Five consecutive patients underwent this technique between August 2007 and October 2008. The indications of the electrocardiograms were no heart ischemia in all patients at mean follow-ups conducted at 5 to 19 months. All the patients were in New York Heart Association functional class I at the time of last follow-up.
介绍一种修复法洛四联症或右心室双出口伴异常右冠状动脉起自左前降支并穿过右心室流出道的新技术。游离、横断并重新植入右冠状动脉，经心室切开和肺动脉切开修复右心室流出道和室间隔缺损，用心包补片重建右心室流出道和肺动脉瓣环。2007 年 8 月至 2008 年 10 月，5 例连续患者采用该技术。在平均 5 至 19 个月的随访中，所有患者的心电图均无心肌缺血。末次随访时，所有患者均处于纽约心脏协会心功能 I 级。
