Department of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan.
Ann Thorac Surg. 2011 Sep;92(3):1135-7. doi: 10.1016/j.athoracsur.2011.03.115.
Coarctation of the left pulmonary artery may coexist with tetralogy of Fallot or pulmonary atresia with ventricular septal defect. Various surgical methods, such as autologous pericardial patching and intraoperative pulmonary artery stenting, have been used for solving this condition. We proposed a simple and effective technique for treating patients with left pulmonary artery coarctation and pulmonary atresia with ventricular septal defect by using the right pulmonary artery flap for left pulmonary artery coarctoplasty, plus central shunt creation by V-Y plasty.
左肺动脉狭窄可能与法洛四联症或肺动脉闭锁伴室间隔缺损并存。为解决这一情况,已采用各种外科方法,如自体心包补片和术中肺动脉支架置入。我们提出了一种简单有效的技术,即利用右肺动脉瓣进行左肺动脉缩窄成形术,并采用 V-Y 成形术进行中央分流术,治疗左肺动脉狭窄伴室间隔缺损的患者。