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Acta Cardiol Sin. 2016 Sep;32(5):612-615. doi: 10.6515/acs20160105a.
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Fontan operation for patients with severe distal pulmonary artery stenosis, atresia, or a single lung.针对患有严重远端肺动脉狭窄、闭锁或单肺的患者进行的Fontan手术。
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2002;5:68-75. doi: 10.1053/pcsu.2002.31505.

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Cardiac Catheterization in the Early Post-Operative Period after Congenital Heart Surgery.先天性心脏手术后早期的心脏导管插入术
Acta Cardiol Sin. 2018 Nov;34(6):481-487. doi: 10.6515/ACS.201811_34(6).20180524B.

本文引用的文献

1
Outcomes of one-lung Fontan operation: a retrospective multicenter study in Japan.单肺 Fontan 手术的结果：日本多中心回顾性研究。
Ann Thorac Surg. 2012 Oct;94(4):1275-80; discussion 1280. doi: 10.1016/j.athoracsur.2012.04.080. Epub 2012 Jul 6.
2
Hemoptysis in a single lung Fontan: percutaneous approach.单肺Fontan循环中的咯血：经皮途径
Rev Port Cardiol. 2009 Dec;28(12):1399-403.
3
Successful single-lung fontan operation in an adult: 5-year follow-up.成人单肺Fontan手术成功：5年随访
Ann Thorac Surg. 2005 Mar;79(3):1042-4. doi: 10.1016/j.athoracsur.2003.09.129.
4
Total cavopulmonary connection to one lung.全腔肺连接至一侧肺。
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2004;7:72-9. doi: 10.1053/j.pcsu.2004.02.008.
5
One-lung Fontan operation: hemodynamics and surgical outcome.单肺Fontan手术：血流动力学与手术结果
Ann Thorac Surg. 1998 Jan;65(1):171-5. doi: 10.1016/s0003-4975(97)01015-1.
6
Unilateral Fontan operation for tricuspid atresia.三尖瓣闭锁的单侧Fontan手术
Scand J Thorac Cardiovasc Surg. 1996;30(2):97-9. doi: 10.3109/14017439609107250.
7
Pulmonary artery size and clinical outcome after the modified Fontan operation.改良Fontan手术后的肺动脉大小与临床结局
Ann Thorac Surg. 1993 Mar;55(3):646-51. doi: 10.1016/0003-4975(93)90268-m.
8
Reconsideration of criteria for the Fontan operation. Influence of pulmonary artery size on postoperative hemodynamics of the Fontan operation.法洛四联症手术标准的重新考量。肺动脉大小对法洛四联症手术后血流动力学的影响。
Circulation. 1994 Mar;89(3):1196-202. doi: 10.1161/01.cir.89.3.1196.
9
Pulmonary artery index. A nonpredictor of operative survival in patients undergoing modified Fontan repair.肺动脉指数。在接受改良Fontan修复术的患者中，它并非手术生存率的预测指标。
Circulation. 1989 Sep;80(3 Pt 1):I216-21.
10
Fontan operation in a case of single functional pulmonary artery.单支功能性肺动脉病例的Fontan手术
J Thorac Cardiovasc Surg. 1989 Jul;98(1):153-4.

一名患有严重右肺动脉发育不全、单心室和内脏异位综合征患者的Fontan手术

Fontan Operation in a Patient with Severe Hypoplastic Right Pulmonary Artery, Single Ventricle, and Heterotaxy Syndrome.

作者信息

Pan Jun-Yen, Lin Chu-Chuan, Chang Jen-Ping

机构信息

Department of Cardiovascular Surgery.

Department of Pediatrics, Kaohsiung Veterans General Hospital.

出版信息

Acta Cardiol Sin. 2016 Sep;32(5):612-615. doi: 10.6515/acs20160105a.

DOI:10.6515/acs20160105a
PMID:27713611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5052481/
Abstract

Assessment of the pulmonary circulation status including pressure, resistance, size, and absence of anatomical distortion, is crucial to the successful Fontan operation. Most patients are found to have acceptable pulmonary arteries after previous palliation, although some degree of distortion is not uncommon. However, in rare instances, some patients have only one functioning lung with another pulmonary artery seriously hypoplastic or atretic. For theses patients, completion of a Fontan operation will be challenging. We reported a 17-year-old girl with a single ventricle and heterotaxy syndrome and only her left lung functioning, who underwent one-lung Fontan operation with a satisfactory result.

摘要

评估肺循环状态，包括压力、阻力、大小以及有无解剖结构畸形，对于成功实施Fontan手术至关重要。大多数患者在先前的姑息治疗后被发现肺动脉状况尚可，尽管一定程度的畸形并不罕见。然而，在极少数情况下，一些患者只有一个功能正常的肺，另一条肺动脉严重发育不全或闭锁。对于这些患者，完成Fontan手术将具有挑战性。我们报告了一名17岁患有单心室和内脏异位综合征且仅左肺有功能的女孩，她接受了单肺Fontan手术，结果令人满意。