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采用股静脉同种异体移植改良沃登手术修复右侧部分性肺静脉异位连接变异型

Modified Warden Operation With the Use of Femoral Vein Homograft for Repair of a Variant of Right-Sided Partial Anomalous Pulmonary Venous Connection.

作者信息

Chery Josue, Ramakrishnan Karthik, Cross Russel, Jonas Richard A

机构信息

Department of Cardiothoracic Surgery, Virginia Commonwealth University, Richmond, VA, USA.

Department of Cardiac Surgery, Children's National Health System, Washington, DC, USA.

出版信息

World J Pediatr Congenit Heart Surg. 2020 Mar;11(2):217-219. doi: 10.1177/2150135119888219.

DOI:10.1177/2150135119888219
PMID:32093559
Abstract

Surgical repair of right-sided partial anomalous pulmonary venous return (PAPVR) involves baffling the pulmonary vein across a naturally occurring or surgically created atrial septal defect without causing pulmonary venous or superior vena cava obstruction. A nine-year-old male presented to us with an unusual anatomical variant of right-sided partial anomalous pulmonary venous connection. The pulmonary veins draining the right upper and middle lobes connected to the azygous vein that drained in the usual fashion into the superior vena cava. The Warden operation was modified, with the use of femoral vein homograft, to avoid pulmonary venous obstruction.

摘要

右侧部分性肺静脉异位引流(PAPVR)的手术修复包括通过自然存在或手术造成的房间隔缺损构建一个肺静脉分流板,同时避免造成肺静脉或上腔静脉梗阻。一名9岁男性患者,其右侧部分性肺静脉连接存在不寻常的解剖变异。引流右上叶和中叶的肺静脉与奇静脉相连,奇静脉以常规方式汇入上腔静脉。为避免肺静脉梗阻,对沃登手术进行了改良,采用了股静脉同种异体移植。

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