Fuchigami Tai, Nishioka Masahiko, Akashige Toru, Higa Shotaro, Nagata Nobuhiro
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Okinawa, Japan.
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Okinawa, Japan.
Ann Thorac Surg. 2017 Jan;103(1):e111-e113. doi: 10.1016/j.athoracsur.2016.07.060.
The management of some subsets of patients with an unsuccessful balloon atrial septostomy (BAS) and poor general condition is typically challenging. Our novel technique involves off-pump atrial septectomy using laparoscopic forceps guided by intraoperative direct pericardial echocardiography. The technique was first used in a case of tricuspid atresia in a patient in preshock and was then used in 2 more patients with hypoplastic left heart syndrome (HLHS) (age, 10-116 days; body weight, 2.4-3.7 kg). There were no operative complications of embolism or bleeding in our series. Our off-pump atrial septectomy technique is an effective approach in specific cases.
对于一些球囊房间隔造口术（BAS）失败且一般状况较差的患者亚组，其管理通常具有挑战性。我们的新技术是在术中直接心包超声心动图引导下，使用腹腔镜钳进行非体外循环房间隔切除术。该技术首先用于一名处于休克前期的三尖瓣闭锁患者，随后又用于另外两名左心发育不全综合征（HLHS）患者（年龄10 - 116天；体重2.4 - 3.7千克）。在我们的系列病例中，没有出现栓塞或出血等手术并发症。我们的非体外循环房间隔切除术技术在特定病例中是一种有效的方法。
