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用于高肺血管阻力高危患者的室间隔缺损修补术中的十字形开窗术

Cruciate Fenestration in Ventricular Septal Defect Patch for High-Risk Patients With High Pulmonary Vascular Resistance.

作者信息

Sridhar Anuradha, Sahayaraj Anto, Lakshmi Nithya, Farzana Farida, Subramanyan Raghavan, Pezzella A Thomas, Cherian Kotturathu Mammen

机构信息

Department of Paediatric Cardiology, Frontier Lifeline and Dr. K. M. Cherian Heart Foundation, Chennai, Tamil Nadu, India

Cardiothoracic Surgery, Frontier Lifeline and Dr. K. M. Cherian Heart Foundation, Chennai, Tamil Nadu, India.

出版信息

World J Pediatr Congenit Heart Surg. 2014 Jul;5(3):494-6. doi: 10.1177/2150135114526418.

DOI:10.1177/2150135114526418
PMID:24958063
Abstract

Late presentation of patients with large ventricular septal defect (VSD) and elevated pulmonary vascular resistance (PVR) is not uncommon in developing countries. Surgical VSD closure in these patients carries risks of persistent pulmonary hypertension, right ventricular failure, and mortality. Several techniques for creation of valved patches or fenestrated patches have been developed to address these issues. We have successfully used a simple and easily reproducible technique in which a cruciate fenestration is created in the patch used for VSD closure.

摘要

在发展中国家，患有大型室间隔缺损（VSD）且肺血管阻力（PVR）升高的患者出现延迟就诊的情况并不少见。对这些患者进行室间隔缺损手术闭合存在持续性肺动脉高压、右心室衰竭和死亡的风险。已经开发了几种用于制作带瓣补片或开窗补片的技术来解决这些问题。我们成功地使用了一种简单且易于重复的技术，即在用于室间隔缺损闭合的补片上制作十字形开窗。

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