Mori Makoto, Siddharthan Ragavan, Kogon Brian
Department of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
Department of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.
Ann Thorac Surg. 2015 Mar;99(3):1058-60. doi: 10.1016/j.athoracsur.2014.06.011.
We describe the case of a 22-year-old with tetralogy of Fallot, who underwent complete repair with ventricular septal defect closure and right ventricle to pulmonary artery conduit placement. She has undergone numerous subsequent conduit changes, each complicated by early stenosis and failure. Unfortunately, serial conduit changes can become increasingly challenging. While extra-anatomic conduits have been described for complex left ventricular outflow tract obstruction, they have not been described for right-sided obstruction. Herein, we present a patient who underwent successful placement of an extra-anatomic valved right ventricle to pulmonary artery conduit in the setting of complex right ventricular outflow tract obstruction.
我们描述了一名患有法洛四联症的22岁患者的病例，该患者接受了室间隔缺损闭合及右心室至肺动脉管道置入的完全修复手术。她随后经历了多次管道更换，每次都因早期狭窄和功能衰竭而变得复杂。不幸的是，连续进行管道更换的难度可能会越来越大。虽然已有文献报道了用于复杂左心室流出道梗阻的解剖外管道，但尚未见用于右侧梗阻的相关报道。在此，我们介绍一名在复杂右心室流出道梗阻情况下成功置入解剖外带瓣右心室至肺动脉管道的患者。
