Shiono N, Takanashi Y, Yoshihara K, Tokuhiro K, Komatsu H, Matsuo N
Department of Thoracic and Cardiovascular Surgery, Toho University School of Medicine, Tokyo, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Jan;38(1):135-9.
A ten-year-old girl with Goldenhar syndrome underwent intracardial repair for partial anomalous right pulmonary venous connection into the superior vena cava. In surgical procedure the proximal tract of superior vena cava was reconstructed into double floor, low floor was tract for anomalous pulmonary venous blood drained into left atrium through the atrial septal defect which was made with resection of prinum septum, upper floor was a real tract for superior venous blood. After operation, arrhythmia did not detect. One month after operation, no stenosis along the superior vena cava or right pulmonary vein were evidenced in catheterization. This surgical technique is superior to using baffle for preventing thrombogenesis. The result suggested that this surgical technique is preferable to the reconstruction of baffle in superior vena cava.
一名患有Goldenhar综合征的10岁女孩接受了心内修复手术,以纠正部分右肺静脉异常连接至上腔静脉的情况。手术过程中,将上腔静脉近端重建为双层结构,下层是异常肺静脉血通过房间隔缺损(通过切除原发隔形成)引流至左心房的通道,上层是上腔静脉血的真正通道。术后未检测到心律失常。术后1个月,心导管检查显示上腔静脉或右肺静脉无狭窄。这种手术技术优于使用挡板预防血栓形成。结果表明,这种手术技术在上腔静脉重建中比使用挡板更可取。