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[采用德·莱瓦尔手术成功治疗合并室间隔缺损和肺动脉闭锁的矫正型大动脉转位]

[A successful operation by de Leval's procedure in corrected transposition of the great arteries with ventricular septal defect and pulmonary atresia].

作者信息

Hayashibe Y, Tanaka A, Hosoda Y

出版信息

Kokyu To Junkan. 1989 May;37(5):553-7.

PMID:2749016
Abstract

A ten-year-old boy with C-TGA (S, L, L) associated with ventricular septal defect and pulmonary atresia underwent an intracardiac repair successfully. Its repair was consisted of VSD closure by de Leval's procedure and relief of pulmonary atresia by means of external valved conduit (18 mm Inonescu-Shiley valved conduit). Sutures for VSD closure were placed to upper half margin of VSD from the anatomic right ventricle and lower half margin from the anatomical left ventricle, as which de Leval and co-workers have described previously. De Leval's procedure is superior than other VSD closure methods at the point of reduced A-V block, relatively easy operative technique, and good operative field.

摘要

一名患有矫正型大动脉转位(S,L,L)并伴有室间隔缺损和肺动脉闭锁的10岁男孩成功接受了心内修复手术。其修复包括采用德·莱瓦尔手术闭合室间隔缺损以及通过带瓣外管道(18毫米伊诺内斯库-希利带瓣管道)解除肺动脉闭锁。如德·莱瓦尔及其同事之前所描述的那样,室间隔缺损闭合缝线从解剖学右心室置于室间隔缺损的上半边缘,从解剖学左心室置于下半边缘。德·莱瓦尔手术在降低房室传导阻滞、手术技术相对简单以及手术视野良好方面优于其他室间隔缺损闭合方法。

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