Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Ann Thorac Surg. 2018 Nov;106(5):e273-e276. doi: 10.1016/j.athoracsur.2018.05.026. Epub 2018 Jun 8.
We used a suture-and-open technique with a biatrial incision for primary sutureless repair of total anomalous pulmonary venous connection (TAPVC). With this technique, the common pulmonary venous sinus and its branching pulmonary veins are opened after completion of suturing of the left atrial incision to the pericardium around the common pulmonary venous sinus and its branching veins. The technique allows the primary sutureless repair of TAPVC to be done in a less bloody field under full-flow cardiopulmonary bypass. We have performed this technique in our recent 5 consecutive TAPVC patients without significant complications.
我们采用缝合-开放技术，通过双心房切口对完全性肺静脉异常连接（TAPVC）进行原发性无缝合修复。采用这种技术，在完成左心房切口与围绕共同肺静脉窦及其分支静脉的心包的缝合后，打开共同肺静脉窦及其分支静脉。该技术允许在完全血流心肺旁路下在出血较少的情况下进行 TAPVC 的原发性无缝合修复。我们在最近的 5 例 TAPVC 患者中连续应用该技术，没有出现明显的并发症。
