Hiramatsu Yuji
Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Japan.
Ann Thorac Surg. 2014 Nov;98(5):1850-2. doi: 10.1016/j.athoracsur.2014.03.054. Epub 2014 Oct 30.
An alternative pulmonary valve-sparing technique for primary repair of tetralogy of Fallot is presented. Reconstruction of the right ventricular outflow tract was accomplished by augmentation of the anterior facing pulmonary cusp, the pulmonary annulus, and the main pulmonary artery using a single autologous pericardial patch. This valve-sparing technique preserves the coaptation and suspension mechanisms of the native pulmonary cusp and therefore may minimize pulmonary insufficiency in the long term.
本文介绍了一种用于法洛四联症一期修复的保留肺动脉瓣的替代技术。通过使用单一自体心包补片扩大前向肺动脉瓣叶、肺动脉瓣环和主肺动脉来完成右心室流出道重建。这种保留瓣膜技术保留了天然肺动脉瓣叶的对合和悬吊机制，因此从长期来看可能会将肺动脉瓣关闭不全降至最低。
