Takeuchi Y, Matsuda H, Kadoba K, Sawa Y, Kawashima Y, Ogawa M
Nihon Kyobu Geka Gakkai Zasshi. 1989 Mar;37(3):574-8.
A two-month-old girl with heart failure from truncus arteriosus (Collett & Edwards Type II) underwent a total correction by the Rastelli procedure using 12-mm-diameter Hancock valved conduit. The orifice of pulmonary arteries was closed from inside without detachment of the pulmonary artery from truncus. The distal anastomosis of the conduit was made to left pulmonary artery. Primary sternal closure was difficult and delayed closure was performed using splint with a resin plate. The skin was primarily closed using bilateral advancement myocutaneous flaps. Complete closure of the sternum was made on the 11th postoperative day. A rotation flap of the right abdominal rectal muscle was used to cover the partially necrotic skin over the sternum. The patient had persistent respiratory and cardiac problems, but was discharged 14 months after surgery.
一名两个月大的患有共同动脉干（科利特和爱德华兹 II 型）导致心力衰竭的女孩接受了使用 12 毫米直径汉考克带瓣管道的罗斯蒂利手术进行的完全矫正。肺动脉开口从内部封闭，未将肺动脉从共同动脉干上分离。管道的远端吻合到左肺动脉。一期胸骨关闭困难，使用带有树脂板的夹板进行了延迟关闭。皮肤通过双侧推进肌皮瓣进行一期缝合。术后第 11 天完成胸骨完全闭合。使用右腹直肌旋转皮瓣覆盖胸骨上方部分坏死的皮肤。患者持续存在呼吸和心脏问题，但术后 14 个月出院。
