Benjaout Kaoutar, Mitchell Julia, Gauthier Julie, Ninet Jean
Service de Chirurgie Cardiaque Congénitale, Hôpital Louis-Pradel, Hospices Civils de Lyon, Bron, France.
Biologie Humaine, Université Claude Bernard Lyon 1, Villeurbanne, France.
World J Pediatr Congenit Heart Surg. 2020 May;11(3):343-345. doi: 10.1177/2150135120903281.
Between 1983 and 2016, we operated on 14 children with tetralogy of Fallot with an anomalous coronary artery crossing the pulmonary infundibulum, which is an anomaly that makes the repair complex. The technique used was the enlargement of the right ventricular outflow tract underneath the mobilized coronary artery. All patients had right ventricular outflow tract relief without coronary artery injury. Only one patient required the use of an extracardiac conduit. There was neither in-hospital mortality nor coronary anomaly requiring reintervention. Mobilizing the anomalous coronary artery in tetralogy of Fallot repair often allows relief of obstruction without using an extracardiac conduit.
1983年至2016年期间，我们为14例法洛四联症合并异常冠状动脉横跨肺动脉漏斗部的患儿实施了手术，这种异常情况使得修复手术变得复杂。所采用的技术是在游离的冠状动脉下方扩大右心室流出道。所有患者的右心室流出道梗阻均得到缓解，且冠状动脉未受损伤。仅1例患者需要使用心外管道。既无院内死亡病例，也无需要再次干预的冠状动脉异常情况。在法洛四联症修复术中游离异常冠状动脉通常可在不使用心外管道的情况下缓解梗阻。
