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采用Y型移植物对单侧肺动静脉畸形患者进行Fontan手术翻修术

Fontan Revision with Y-Graft in a Patient with Unilateral Pulmonary Arteriovenous Malformation.

作者信息

Lee Jeong-Woo, Park Jeong-Jun, Goo Hyun Woo, Ko Jae Kon

机构信息

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine.

Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine.

出版信息

Korean J Thorac Cardiovasc Surg. 2017 Jun;50(3):207-210. doi: 10.5090/kjtcs.2017.50.3.207. Epub 2017 Jun 5.

DOI:10.5090/kjtcs.2017.50.3.207
PMID:28593158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5460969/
Abstract

The extracardiac conduit Fontan procedure is the last surgical step in the treatment of patients with a functional single ventricle. An acquired pulmonary arteriovenous malformation may appear perioperatively or postoperatively due to an uneven hepatic flow distribution. Here we report a case of a bifurcated Y-graft Fontan operation in a 15-year-old male patient with a unilateral pulmonary arteriovenous malformation after an extracardiac conduit Fontan operation.

摘要

心外管道Fontan手术是功能性单心室患者治疗的最后一步手术。由于肝血流分布不均，围手术期或术后可能出现获得性肺动静脉畸形。在此，我们报告一例15岁男性患者，在心外管道Fontan手术后出现单侧肺动静脉畸形，接受了分叉Y型移植Fontan手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abd8/5460969/304c575e6722/kjtcvs-50-207f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abd8/5460969/c95ee737f68f/kjtcvs-50-207f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abd8/5460969/304c575e6722/kjtcvs-50-207f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abd8/5460969/c95ee737f68f/kjtcvs-50-207f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abd8/5460969/304c575e6722/kjtcvs-50-207f2.jpg

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Fontan Revision with Y-Graft in a Patient with Unilateral Pulmonary Arteriovenous Malformation.采用Y型移植物对单侧肺动静脉畸形患者进行Fontan手术翻修术
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Ann Pediatr Cardiol. 2022 Mar-Apr;15(2):212-215. doi: 10.4103/apc.apc_80_21. Epub 2022 Aug 19.

本文引用的文献

1
Flow simulations and validation for the first cohort of patients undergoing the Y-graft Fontan procedure.行波模拟及其在第一组行 Y 型管道 Fontan 手术患者中的验证。
J Thorac Cardiovasc Surg. 2015 Jan;149(1):247-55. doi: 10.1016/j.jtcvs.2014.08.069. Epub 2014 Sep 21.
2
Normal and abnormal pulmonary arteriovenous shunting: occurrence and mechanisms.正常与异常肺动静脉分流：发生率及机制
Cardiol Young. 2013 Oct;23(5):629-41. doi: 10.1017/S1047951113000140. Epub 2013 Mar 5.
3
Endostatin, an inhibitor of angiogenesis, decreases after bidirectional superior cavopulmonary anastamosis.
内皮抑素，一种血管生成抑制剂，在双向上腔静脉肺动脉吻合术后会减少。
Pediatr Cardiol. 2013 Feb;34(2):291-5. doi: 10.1007/s00246-012-0441-2. Epub 2012 Sep 8.
4
Preliminary clinical experience with a bifurcated Y-graft Fontan procedure--a feasibility study.分叶状 Y 型移植物 Fontan 手术的初步临床经验——一项可行性研究。
J Thorac Cardiovasc Surg. 2012 Aug;144(2):383-9. doi: 10.1016/j.jtcvs.2012.05.015. Epub 2012 Jun 13.
5
Simulating hemodynamics of the Fontan Y-graft based on patient-specific in vivo connections.基于患者特定的体内连接模拟 Fontan Y 移植物的血液动力学。
J Thorac Cardiovasc Surg. 2013 Mar;145(3):663-70. doi: 10.1016/j.jtcvs.2012.03.076. Epub 2012 May 4.
6
Cavopulmonary pathway modification in patients with heterotaxy and newly diagnosed or persistent pulmonary arteriovenous malformations after a modified Fontan operation.腔静脉-肺动脉连接途径改建术治疗非均型房室连接和改良 Fontan 术后新发或持续肺动静脉畸形
J Thorac Cardiovasc Surg. 2011 Jun;141(6):1362-70.e1. doi: 10.1016/j.jtcvs.2010.08.088. Epub 2010 Dec 13.
7
Inclusion of hepatic venous drainage in patients with pulmonary arteriovenous fistulas.肺动静脉瘘患者肝静脉引流的纳入情况。
Ann Thorac Surg. 2009 Feb;87(2):548-53. doi: 10.1016/j.athoracsur.2008.10.024.
8
Redirection of the hepatic venous flow for the treatment of pulmonary arteriovenous malformations after Fontan operation.经肝静脉血流改道治疗Fontan术后肺动静脉畸形
Pediatr Cardiol. 2006 Jul-Aug;27(4):490-2. doi: 10.1007/s00246-006-1242-2. Epub 2006 Jul 6.