用于三尖瓣闭锁、大动脉转位及右位弓发育不全伴完全性血管环的改良诺伍德手术
Modified Norwood Procedure for Tricuspid Atresia, Transposition of Great Arteries, and Hypoplastic Right Arch With Complete Vascular Ring.
作者信息
Hsu Chan-Yang, Shih Jin-Chung, Chen Shyh-Jye, Wu En-Ting, Lu Chun-Wei, Chen Yih-Sharng, Huang Shu-Chien
机构信息
Department of Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Obstetrics and Gynecology, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan.
出版信息
Ann Thorac Surg. 2016 Nov;102(5):e481-e483. doi: 10.1016/j.athoracsur.2016.04.049.
We report a modified Norwood stage I procedure for tricuspid atresia, transposition of great arteries, and hypoplastic right aortic arch with complete vascular ring. In this technique, we applied dual arterial cannulation to avoid circulation arrest during neoaortic reconstruction, and also corrected the arch laterality during the Norwood stage I palliation procedure. Pulmonary flow was supplied by the Blalock-Taussig shunt. Postoperative imaging revealed the patent left neoaortic arch, and the vascular ring was relieved with a patent tracheobronchial tree.
我们报告了一种用于三尖瓣闭锁、大动脉转位以及伴有完整血管环的右主动脉弓发育不良的改良诺伍德一期手术。在这项技术中，我们应用双动脉插管以避免在新主动脉重建期间出现循环停止，并且在诺伍德一期姑息手术过程中还纠正了主动脉弓的走向。肺血流由布莱洛克-陶西格分流术提供。术后影像学检查显示左新主动脉弓通畅，血管环解除，气管支气管树通畅。
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