Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, Netherlands; Department of Cardiothoracic Surgery, University Medical Center Groningen, Groningen, Netherlands.
Department of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, Netherlands; Department of Cardiothoracic Surgery, University Medical Center Groningen, Groningen, Netherlands.
Ann Thorac Surg. 2018 Feb;105(2):e91-e93. doi: 10.1016/j.athoracsur.2017.10.023.
In neonates with interrupted aortic arch and severe left ventricular outflow tract obstruction full relief of left ventricular outflow tract obstruction and adequate aortic arch repair is required. It has been shown that neonatal Ross-Konno provides adequate and durable relieve of left ventricular outflow tract gradient. Additional aortic arch repair using the swing-back technique provides a simplified reconstruction of the arch with a tension-free, direct anastomosis. We describe the technique and results of our experience in 3 neonates.
对于患有主动脉弓中断和严重左心室流出道梗阻的新生儿，需要完全缓解左心室流出道梗阻并进行充分的主动脉弓修复。已经证明，新生儿 Ross-Konno 可充分且持久地缓解左心室流出道梯度。使用 swing-back 技术进行额外的主动脉弓修复可提供一种简化的弓重建方法，具有无张力、直接吻合的优点。我们描述了该技术，并介绍了我们在 3 例新生儿中的经验和结果。
