Tiraboschi R, Salomone G, Crupi G, Manasse E, Salim A, Carminati M, Vanini V, Parenzan L
Department of Cardiac Surgery, Ospedali Riuniti, Bergamo, Italy.
Ann Thorac Surg. 1988 Oct;46(4):438-41. doi: 10.1016/s0003-4975(10)64660-7.
From June, 1975, through April, 1986, 11 consecutive infants with aortopulmonary window were operated on at the Department of Cardiac Surgery, Ospedali Riuniti, Bergamo, Italy. The classic type of aortopulmonary window was present in 6 patients, whereas 4 patients had a ductus type of aortopulmonary window and 1 patient had a double aortopulmonary window, associated transposition of the great arteries, and ventricular septal defect. Operative technique included patch closure of the defect by means of cardiopulmonary bypass using various approaches: transaortic in 3, transpulmonary in 2, and transwindow in 2. The aortopulmonary window was ligated in 3 patients, in 2 of whom an incorrect diagnosis of patent ductus arteriosus was made at cardiac catheterization. Division and suture of the defect through a median sternotomy was performed in the remaining patient, who was moribund on admission. There was a single operative death. All survivors are in New York Heart Association Functional Class I at a mean interval of 6 1/2 years postoperatively.
从1975年6月至1986年4月，意大利贝加莫市瑞乌尼蒂医院心脏外科连续为11例主肺动脉窗患儿实施了手术。其中6例为典型的主肺动脉窗，4例为动脉导管型主肺动脉窗，1例为双主肺动脉窗，合并大动脉转位及室间隔缺损。手术技术包括在体外循环下采用多种入路用补片修补缺损：经主动脉入路3例，经肺动脉入路2例，经主肺动脉窗入路2例。3例患者行主肺动脉窗结扎术，其中2例在心脏导管检查时被误诊为动脉导管未闭。其余1例入院时病情垂危，通过正中胸骨切开术对缺损进行了分离和缝合。手术死亡1例。所有存活患者术后平均6.5年时纽约心脏协会心功能分级均为I级。
