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双向格林手术伴顺行性肺血流中断：哪种是首选方案：肺动脉结扎还是离断？

Bidirectional Glenn with interruption of antegrade pulmonary blood flow: Which is the preferred option: Ligation or division of the pulmonary artery?

作者信息

Chowdhury Ujjwal Kumar, Kapoor Poonam Malhotra, Rao Keerthi, Gharde Parag, Kumawat Mukesh, Jagia Priya

机构信息

Department of Cardiothoracic Surgery, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.

Department of Cardiac Anaesthesiology, Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Ann Card Anaesth. 2016 Jul-Sep;19(3):561-3. doi: 10.4103/0971-9784.185566.

DOI:10.4103/0971-9784.185566
PMID:27397472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4971996/
Abstract

We report a rare complication of massive aneurysm of the proximal ligated end of the main pulmonary artery which occurred in the setting of a patient with a functionally univentricular heart and increased pulmonary blood flow undergoing superior cavopulmonary connection. Awareness of this possibility may guide others to electively transect the pulmonary artery in such a clinical setting.

摘要

我们报告了一例罕见的并发症，即主肺动脉近端结扎端出现巨大动脉瘤，该病例发生在一名功能性单心室心脏且肺血流量增加的患者接受上腔静脉-肺动脉连接手术的过程中。认识到这种可能性或许能指导其他人在这种临床情况下选择性地横断肺动脉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7411/4971996/7b1a79860c58/ACA-19-561-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7411/4971996/929aaffa72e8/ACA-19-561-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7411/4971996/7b1a79860c58/ACA-19-561-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7411/4971996/929aaffa72e8/ACA-19-561-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7411/4971996/7b1a79860c58/ACA-19-561-g002.jpg

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本文引用的文献

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Surgical outcome of staged univentricular-type repairs for patients with univentricular physiology and pulmonary hypertension.单心室生理合并肺动脉高压患者分期单心室型修复手术的结果
Indian Heart J. 2004 Jul-Aug;56(4):320-7.
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Lifelong management of patients with a single functional ventricle: a protocol.单功能性心室患者的终身管理：一项方案。
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Circulation. 1990 Nov;82(5 Suppl):IV170-6.