动脉调转术、心室分隔术和 Fontan 回路重建术治疗双入口左心室。

Arterial Switch, Ventricular Septation, and Fontan Takedown for Double Inlet Left Ventricle.

机构信息

Department of Surgery, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan.

Department of Medical Imaging, National Taiwan University Hospital and Medical College, National Taiwan University, Taipei, Taiwan.

出版信息

Ann Thorac Surg. 2018 Sep;106(3):e159-e162. doi: 10.1016/j.athoracsur.2018.03.028. Epub 2018 Apr 16.

DOI:10.1016/j.athoracsur.2018.03.028

PMID:29673637

Abstract

A patient with double inlet left ventricle with transposition of great arteries and severe coarctation of the aorta received aortoplasty and pulmonary artery banding, followed by bidirectional Glenn shunt and extracardiac total cavopulmonary connection (TCPC). Severe subaortic stenosis and increased atrioventricular valve regurgitation were noted 4 years after TCPC. Surgery included alleviation of the subaortic stenosis, ventricular septation through the tricuspid valve approach, and an arterial switch with the main pulmonary artery reopened. The TCPC was taken down with both caval veins reconnected to the right atrium; the neopulmonary artery was reconstructed. Biventricular conversion from TCPC was achieved.

摘要

一位患有双入口左心室、大动脉转位和严重主动脉缩窄的患者接受了主动脉成形术和肺动脉带缩术，随后进行了双向 Glenn 分流术和心外全腔静脉连接术（TCPC）。在 TCPC 后 4 年，发现严重的主动脉瓣下狭窄和房室瓣反流增加。手术包括缓解主动脉瓣下狭窄，通过三尖瓣途径进行室间隔分隔，以及重新开放主肺动脉的动脉切换。TCPC 被拆除，两条腔静脉重新连接到右心房；新的肺动脉被重建。从 TCPC 转为双心室。