Katewa Ashish, Marwah Ashutosh, Singh Vishal, Ramaswamy Arun, Sharma Rajesh
Department of Pediatric Cardiac Surgery, Intensive Care Fortis-Escorts Heart Institute, Okhla, New Delhi, India.
World J Pediatr Congenit Heart Surg. 2012 Jul 1;3(3):385-8. doi: 10.1177/2150135112438231.
Biventricular repair in right atrial isomerism is rarely feasible due to associated anomalies of venous connection, ventricular imbalance, nonroutabilty of the interventricular communication, a common atrioventricular junction, and inadequate pulmonary arterial branches. These patients are also often not ideal for univentricular repair due to some of the above associations. We describe a novel surgical technique that was utilized in such a patient for biventricular repair of a child with right atrial isomerism with total anomalous pulmonary venous connection, regurgitant common atrioventricular valve, hypoplastic left ventricle, nonroutable ventricular septal defect, and pulmonary stenosis.
由于存在静脉连接异常、心室失衡、室间隔交通无法疏通、共同房室交界以及肺动脉分支不足等相关异常情况，右心房异构的双心室修复手术很少可行。由于上述部分关联情况，这些患者通常也不太适合单心室修复。我们描述了一种新颖的手术技术，该技术用于一名患有右心房异构、完全性肺静脉异位连接、共同房室瓣反流、左心室发育不全、无法疏通的室间隔缺损以及肺动脉狭窄的儿童进行双心室修复。
