Sughimoto Koichi, Sanatani Shubhayan, Gandhi Sanjiv K
1 Division of Pediatric Cardiothoracic Surgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
2 Division of Pediatric Cardiology, British Columbia Children's Hospital, Vancouver, British Columbia, CanadaCorresponding Author.
World J Pediatr Congenit Heart Surg. 2018 Sep;9(5):582-584. doi: 10.1177/2150135118775383.
Reconstruction of nonconfluent pulmonary arteries during Fontan completion is a challenging technical issue. In this case report, we describe the use of an aortic homograft, including the aortic arch, to complete a Fontan and reconstruct the pulmonary artery confluence in a child with discontinuous pulmonary arteries and bilateral superior caval veins who had undergone bilateral unidirectional Glenn palliation. The configuration of the aortic homograft was ideal to ensure laminar flow from the inferior vena cava to both pulmonary arteries and in maintaining durable elastance posterior to the native aorta.
在Fontan手术完成时重建不连续的肺动脉是一个具有挑战性的技术问题。在本病例报告中，我们描述了使用包括主动脉弓的主动脉同种异体移植物，为一名患有不连续肺动脉和双侧上腔静脉且已接受双侧单向Glenn分流术的儿童完成Fontan手术并重建肺动脉汇合处。主动脉同种异体移植物的形态非常理想，可确保下腔静脉到双侧肺动脉的层流，并维持天然主动脉后方的持久弹性。
