Yoshii Takeshi, Miyamoto Takashi, Inui Akitoshi, Tanaka Yuuki, Yoshitake Shuichi, Seki Mitsuru, Kobayashi Tomio
Department of Cardiovascular Surgery, Gunma Children's Medical Center.
Int Heart J. 2014;55(6):552-4. doi: 10.1536/ihj.14-152. Epub 2014 Oct 16.
We have performed bilateral pulmonary artery banding operations combined with planned percutaneous balloon dilatation at banding sites for patients with hypoplastic left heart syndrome and related anomalies. Here, we report a case of Fontan completion in a patient who underwent aortic arch repair and a bidirectional Glenn procedure following flowadjustable bilateral pulmonary artery banding. The patient had a double-inlet left ventricle, a hypoplastic right ventricle, a hypoplastic aortic arch, and coarctation of the aorta. She underwent banding at 9 days of age and balloon dilatation at 2 months. The Damus-Kaye-Stansel anastomosis, aortic arch repair, and bidirectional Glenn procedure were performed at 5 months of age, and the extracardiac Fontan procedure was performed at 1.5 years.
我们已对患有左心发育不全综合征及相关异常的患者实施了双侧肺动脉环扎术，并在环扎部位计划进行经皮球囊扩张术。在此，我们报告一例在进行流量可调双侧肺动脉环扎术后接受主动脉弓修复和双向格林手术的患者完成Fontan手术的病例。该患者患有双入口左心室、右心室发育不全、主动脉弓发育不全和主动脉缩窄。她在9日龄时接受了环扎术，2个月时接受了球囊扩张术。在5月龄时进行了Damus-Kaye-Stansel吻合术、主动脉弓修复和双向格林手术，并在1.5岁时进行了心外Fontan手术。
