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法洛四联症患者主动脉同种异体移植物植入二十年后的病理检查结果。

Pathological findings of the aortic homograft in a patient with tetralogy of Fallot twenty years after implantation.

作者信息

Kobayashi J, Kawashima Y, Matsuda H, Nakano S, Kasugai T, Tokuan Y

机构信息

First Department of Surgery, Osaka University Medical School, Japan.

出版信息

Heart Vessels. 1990;5(2):98-101. doi: 10.1007/BF02058325.

DOI:10.1007/BF02058325
PMID:2354994
Abstract

We report pathological findings of the aortic homograft in a 27-year-old patient who died 20 years after implantation at the time of correction of tetralogy of Fallot. Although calcification of the homograft was severe with degeneration of valve leaflets, no functional obstruction of the homograft was found as a conduit. This observation may suggest a beneficial aspect of the aortic homograft as the right ventricle to the pulmonary artery conduit late after corrective surgery even if calcification was not avoided.

摘要

我们报告了一名27岁患者主动脉同种异体移植物的病理结果,该患者在法洛四联症矫正术后20年植入移植物,死亡时进行尸检。尽管同种异体移植物钙化严重且瓣叶退变,但未发现该移植物作为管道存在功能性梗阻。这一观察结果可能提示,即使无法避免钙化,在矫正手术后晚期,主动脉同种异体移植物作为右心室至肺动脉的管道仍有有益的一面。

相似文献

1
Pathological findings of the aortic homograft in a patient with tetralogy of Fallot twenty years after implantation.法洛四联症患者主动脉同种异体移植物植入二十年后的病理检查结果。
Heart Vessels. 1990;5(2):98-101. doi: 10.1007/BF02058325.
2
[Reoperation of tetralogy of Fallot long after correction with aortic homograft: a case report].
Kyobu Geka. 1990 Mar;43(3):215-8.
3
Intermediate results after complete repair of tetralogy of Fallot in neonates.新生儿法洛四联症完全修复后的中期结果。
J Thorac Cardiovasc Surg. 1995 Feb;109(2):332-42, 344; discussion 342-3. doi: 10.1016/S0022-5223(95)70395-0.
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[Single cusp homograft implantation in the reconstruction of right ventricular outflow tract in the correction of tetralogy of Fallot].[单尖瓣同种异体移植术在法洛四联症矫治中右心室流出道重建中的应用]
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Factors related to the durability of a homograft monocusp valve inserted during repair of tetralogy of Fallot as based on the mid- to long-term outcomes.基于中长期结果的法洛四联症修复术中植入的同种异体单叶瓣膜耐久性相关因素。
Cardiol Young. 2008 Apr;18(2):141-6. doi: 10.1017/S1047951108001923. Epub 2008 Feb 6.
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Reoperation for severe right ventricular dilatation after tetralogy of Fallot repair: pulmonary infundibuloplasty should be added to homograft implantation.法洛四联症修复术后严重右心室扩张的再次手术:同种异体移植植入应加做肺动脉漏斗部成形术。
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Tetralogy of Fallot with atresia of the left pulmonary artery: surgical repair using a homograft aortic valve.法洛四联症合并左肺动脉闭锁:使用同种异体主动脉瓣进行手术修复
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Late homograft valve insertion after transannular patch repair of tetralogy of Fallot.法洛四联症经环带补片修复术后晚期同种异体瓣膜植入
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Surgery for right ventricle to pulmonary artery conduit obstruction: risk factors for further reoperation.右心室至肺动脉管道梗阻的手术治疗:再次手术的危险因素
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引用本文的文献

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Decellularized aortic conduits: could their cryopreservation affect post-implantation outcomes? A morpho-functional study on porcine homografts.去细胞主动脉管道:其冷冻保存会影响植入后的结果吗?对猪同种移植物的形态功能研究。
Heart Vessels. 2016 Nov;31(11):1862-1873. doi: 10.1007/s00380-016-0839-5. Epub 2016 Apr 26.

本文引用的文献

1
Calcification of aortic homografts used for reconstruction of the right ventricular outflow tract.
J Thorac Cardiovasc Surg. 1980 Dec;80(6):909-20.
2
Clinicopathological correlates of obstructed right-sided porcine-valved extracardiac conduits.
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Late results after extracardiac conduit repair for congenital cardiac defects.
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4
Aortic valve homografts in the surgical treatment of complex cardiac malformations.主动脉瓣同种异体移植在复杂心脏畸形手术治疗中的应用
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5
Reoperation for obstructed pulmonary ventricle-pulmonary artery conduits. Early and late results.受阻的肺动脉心室-肺动脉管道再次手术。早期和晚期结果。
J Thorac Cardiovasc Surg. 1984 Sep;88(3):334-43.
6
Pericardial baffle complications following the Mustard operation. Age-related incidence and ease of management.
J Thorac Cardiovasc Surg. 1984 Mar;87(3):371-8.
7
"Fresh", antibiotic sterilized aortic homografts in extracardiac valved conduits. Long-term results.心外带瓣管道中“新鲜的”、经抗生素灭菌的主动脉同种异体移植物。长期结果。
Thorac Cardiovasc Surg. 1984 Feb;32(1):10-4. doi: 10.1055/s-2007-1023336.
8
Right ventricular outflow reconstruction with aortic homograft conduit: analysis of the long-term results.使用主动脉同种异体移植物管道进行右心室流出道重建:长期结果分析
Thorac Cardiovasc Surg. 1980 Feb;28(1):21-5. doi: 10.1055/s-2007-1022045.
9
Use of large homograft artery with semilunar valve for correction of tetralogy of fallot. A follow-up study.使用带半月瓣的大型同种异体动脉矫正法洛四联症。一项随访研究。
J Thorac Cardiovasc Surg. 1974 May;67(5):685-93.
10
Correction of pulmonary atresia with a homograft aortic valve.同种异体主动脉瓣修复肺动脉闭锁。
Lancet. 1966 Dec 31;2(7479):1446-7. doi: 10.1016/s0140-6736(66)90600-3.