Department of Cardiovascular Surgery, Kanagawa Children's Medical Center, Yokohama, Japan.
Ann Thorac Surg. 2010 Dec;90(6):2073-5. doi: 10.1016/j.athoracsur.2009.12.086.
We present a rapid two-stage Starnes procedure for a seriously symptomatic neonate with the prenatal diagnosis of Ebstein anomaly. At 16 hours after birth, we performed an emergency operation consisting of main pulmonary artery ligation, plication of the right atrial and right ventricular wall, modified Blalock-Taussig shunt, and patent ductus arteriosus ligation, without cardiopulmonary bypass. At age 12 days, we then performed the Starnes procedure using a glutaraldehyde-treated autologous pericardial patch with a 4-mm fenestration to close the tricuspid valve orifice. The infant's postoperative course was excellent. A rapid two-stage Starnes procedure is useful for treating a seriously symptomatic neonate with Ebstein anomaly.
我们为一名患有产前诊断为埃布斯坦畸形的严重症状新生儿呈现一种快速的两阶段 Starnes 手术。出生后 16 小时，我们进行了一项紧急手术，包括主肺动脉结扎、右心房和右心室壁折叠、改良的 Blalock-Taussig 分流术和动脉导管结扎术，而无需体外循环。12 天后，我们使用戊二醛处理的自体心包补片进行了 Starnes 手术，该补片有一个 4 毫米的孔以关闭三尖瓣口。婴儿的术后过程非常出色。快速两阶段 Starnes 手术对治疗患有埃布斯坦畸形的严重症状新生儿非常有用。
