Kiran Usha, Aggarwal Shivani, Choudhary Arin, Uma B, Kapoor Poonam Malhotra
Department of Cardiac Anaesthesia, CTC, AIIMS, New Delhi, India.
Ann Card Anaesth. 2017 Jul-Sep;20(3):323-330. doi: 10.4103/aca.ACA_80_17.
The systemic to pulmonary artery shunts are done as palliative procedures for cyanotic congenital heart diseases ranging from simple tetralogy of Fallots (TOFs)/pulmonary atresia (PA) to complex univentricular hearts. They allow growth of pulmonary arteries and maintain regulated blood flow to the lungs till a proper age and body weight suitable for definitive corrective repair is reached. We have reviewed the BT shunt with its anaesthtic considerations and management of associated complications.
体肺分流术是针对从简单的法洛四联症(TOF)/肺动脉闭锁(PA)到复杂的单心室心脏等一系列青紫型先天性心脏病所实施的姑息性手术。它们能促进肺动脉的生长,并维持流向肺部的血流处于可控状态,直至达到适合进行确定性矫正修复的适当年龄和体重。我们回顾了体肺分流术及其麻醉相关考量和并发症的处理。