Marcelletti C, Corno A, Giannico S, Marino B
Dipartimento Medico Chirurgico di Cardiologia Pediatrica, Ospedale Bambino Gesú, Rome, Italy.
J Thorac Cardiovasc Surg. 1990 Aug;100(2):228-32.
From November 1988 to May 1989, four patients underwent total right heart bypass by means of bidirectional cavopulmonary anastomosis and interposition of an extracardiac conduit from the inferior vena cava to the pulmonary artery. All of them had an uneventful postoperative course, and there have been no early or late deaths. We propose this technique as an alternative surgical option in candidates for a Fontan procedure with (1) hypoplasia or atresia of the left atrioventricular valve, (2) common atrioventricular valve, (3) anomalies of systemic and pulmonary venous return, or (4) auricular juxtaposition.
1988年11月至1989年5月，4例患者通过双向腔肺吻合术及在心外从下腔静脉到肺动脉置入管道的方式接受了全右心旁路手术。所有患者术后过程均顺利，无早期或晚期死亡病例。我们建议将此技术作为Fontan手术候选患者的一种替代手术选择，这些患者存在（1）左房室瓣发育不全或闭锁、（2）共同房室瓣、（3）体静脉和肺静脉回流异常、或（4）心耳并列。
