Department of Cardiovascular Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Ann Thorac Surg. 2011 Nov;92(5):1907-8. doi: 10.1016/j.athoracsur.2011.05.028. Epub 2011 Oct 31.
Total cavopulmonary connection remains a challenging procedure when treating heterotaxy syndrome patients with a widely separate drainage of the inferior vena cava and the hepatic vein into the common atrium. We trimmed a Gore-Tex tube graft (W.L. Gore & Associates, Flagstaff, AZ) to form a skirt to cover both openings of the inferior vena cava and the hepatic vein. This tubular structure pierces the atrium and travels outside the heart, and then reaches the inferior side of the pulmonary artery to avoid pulmonary vein obstruction. We then sutured the pierced atriotomy margin to the conduit. This innovative procedure has been shown to accommodate the widely separated hepatic vein drainage with a promising outcome.
在治疗下腔静脉和肝静脉引流广泛分离的异构综合征患者时，全腔静脉肺动脉连接仍然是一项具有挑战性的手术。我们修剪戈尔-泰克斯管移植物（戈尔公司，亚利桑那州弗拉格斯塔夫）形成一个裙子，以覆盖下腔静脉和肝静脉的两个开口。这个管状结构刺穿心房并穿过心脏外部，然后到达肺动脉的下侧，以避免肺静脉阻塞。然后，我们将刺穿的心房间隔边缘缝合到导管上。这项创新的手术已经被证明可以适应广泛分离的肝静脉引流，并取得了有希望的结果。
