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Extracardiac Conduit Fontan Operation with Reduction Aortoplasty for Left Pulmonary Artery Compression after a Norwood Procedure in a Patient with Double-Inlet Left Ventricle.

作者信息

Song Jae Won, Kim Woong Han, Kwak Jae Gun, Park Ji Young

机构信息

Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine.

Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine.

出版信息

Korean J Thorac Cardiovasc Surg. 2018 Feb;51(1):53-56. doi: 10.5090/kjtcs.2018.51.1.53. Epub 2018 Feb 5.

DOI:10.5090/kjtcs.2018.51.1.53
PMID:29430429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5796618/
Abstract

Patients with double-inlet left ventricle usually have a small ascending aorta. In the Norwood procedure, which involves a staged operation, a neoaorta is constructed with a homograft, and the pulmonary artery plays a role in the systemic circulation. Dilatation or aneurysmal changes can occur over time due to the exposure of the neoaorta to systemic pressure, which may induce adverse effects on adjacent structures. We report a rare case of surgical repair for neoaortic root dilataiton with aortic regurgitation, compressing the left pulmohary artery, in a patient who underwent the Norwood procedure.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/9a4ced9edbcb/kjtcv-51-053f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/927fa4e3b2f3/kjtcv-51-053f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/dd7940ce2e96/kjtcv-51-053f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/2a156f190b46/kjtcv-51-053f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/9a4ced9edbcb/kjtcv-51-053f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/927fa4e3b2f3/kjtcv-51-053f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/dd7940ce2e96/kjtcv-51-053f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/2a156f190b46/kjtcv-51-053f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fd4/5796618/9a4ced9edbcb/kjtcv-51-053f4.jpg

相似文献

1
Extracardiac Conduit Fontan Operation with Reduction Aortoplasty for Left Pulmonary Artery Compression after a Norwood Procedure in a Patient with Double-Inlet Left Ventricle.
Korean J Thorac Cardiovasc Surg. 2018 Feb;51(1):53-56. doi: 10.5090/kjtcs.2018.51.1.53. Epub 2018 Feb 5.
2
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Ann Thorac Surg. 2011 Apr;91(4):1300-1. doi: 10.1016/j.athoracsur.2010.10.016.

本文引用的文献

1
Technical modification of the neoaortic reconstruction in Norwood procedure: sparing of anterior wall of the main pulmonary artery.
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2
Neoaortic aneurysm after stage I Norwood reconstruction.
Ann Thorac Surg. 2005 Mar;79(3):e23-5. doi: 10.1016/j.athoracsur.2004.10.056.
3
Neo-aortic root dilation and valve regurgitation up to 21 years after staged reconstruction for hypoplastic left heart syndrome.左心发育不全综合征分期重建术后长达21年的新主动脉根部扩张和瓣膜反流。
J Am Coll Cardiol. 2003 Aug 6;42(3):533-40. doi: 10.1016/s0735-1097(03)00715-0.
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Structural abnormalities of great arterial walls in congenital heart disease: light and electron microscopic analyses.先天性心脏病中大动脉壁的结构异常：光镜和电镜分析
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Growth characteristics of the aortic arch after the Norwood operation.诺伍德手术后主动脉弓的生长特征。
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