Podzolkov V P, Makhachev O A, Dadabaev M Kh, Vaulina T N, Mchedlishvili K A, Lepikhova I I, Gorchakova A I
Grud Serdechnososudistaia Khir. 1990(3):3-7.
The work deals with choice of the optimal method for correction of a single heart ventricle. With this in view, the authors studied the anatomy and function of the atrioventricular valves, the volumetric and functional characteristics of the single ventricle, and the condition of the central parts of the pulmonary artery and the subaortic tract in 46 patients with various anatomical forms of the anomaly. Analysis of the results not only helped in specifying the indications for the use of one or another method of correction of the single ventricle but made it possible to determine the optimal volume of the chosen method according to the anatomo-hemodynamic variant of the anomaly and the condition of the vessels of pulmonary circulation. By means of the approach discussed in the work, 4 operations were carried out for forming an artificial interventricular septum and 14 operations for hemodynamic correction in patients with stenosis of the pulmonary artery.
这项工作涉及单心室矫正最佳方法的选择。鉴于此,作者研究了46例具有各种解剖形式异常患者的房室瓣解剖结构和功能、单心室的容积和功能特征,以及肺动脉中央部分和主动脉下通道的状况。对结果的分析不仅有助于明确使用单心室矫正的一种或另一种方法的适应症,还能够根据异常的解剖血液动力学变异和肺循环血管状况确定所选方法的最佳范围。通过该研究中讨论的方法,对肺动脉狭窄患者进行了4例人工室间隔形成手术和14例血液动力学矫正手术。