一种用于右侧和左侧上腔静脉的手术整合技术。

A Surgical Integration Technique for Right-Sided and Left-Sided Superior Venae Cavae.

作者信息

Fuchigami Tai, Nishioka Masahiko, Akashige Toru, Nagata Nobuhiro

机构信息

Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Okinawa, Japan.

出版信息

Ann Thorac Surg. 2015 Sep;100(3):e63-5. doi: 10.1016/j.athoracsur.2015.05.042.

DOI:10.1016/j.athoracsur.2015.05.042

PMID:26354670

Abstract

The treatment of some subsets of patients having both right-sided superior vena cava (SVC) and left-sided SVC may be very challenging. We performed the SVC integration (SVCI) technique with end-to-side anastomoses between the two SVCs on 4 such patients (age, 5 to 11 months; body weight, 5.4 to 10.2 kg) with excellent outcomes. In 2 patients, we performed intrapulmonary artery septation with SVCI; in 1 patient, pulmonary artery sling repair with SVCI; and in 1 patient with supramitral stenosis related to persistent left-sided SVC, repeated Blalock-Taussig shunt (BTS) with SVCI. Our SVCI technique is very useful in specific cases (eg, in candidates for the Fontan procedure.

摘要

对于同时患有右侧上腔静脉（SVC）和左侧SVC的部分患者亚组，其治疗可能极具挑战性。我们对4例此类患者（年龄5至11个月；体重5.4至10.2千克）实施了两个SVC之间端侧吻合的SVC整合（SVCI）技术，结果极佳。在2例患者中，我们实施了伴有SVCI的肺内动脉分隔术；在1例患者中，实施了伴有SVCI的肺动脉吊带修复术；在1例与持续性左侧SVC相关的二尖瓣上狭窄患者中，实施了伴有SVCI的重复布莱洛克-陶西格分流术（BTS）。我们的SVCI技术在特定病例（例如，在Fontan手术候选者中）非常有用。