22957 Department of Surgery, Duke University Hospitals, Durham, NC, USA.
22957 Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA.
Innovations (Phila). 2020 Mar/Apr;15(2):106-110. doi: 10.1177/1556984520911025.
Pulmonary insufficiency is a known complication following Tetralogy of Fallot repair. With over 90% of patients now surviving to adulthood, surgeons are once again faced with the question of when, and more importantly, how to reintervene. We developed a novel approach to pulmonary valve replacement in this population through a 5-cm left anterior mini-incision. The incision is optimized for exposing and operating on the right ventricular outflow tract and the main pulmonary artery in patients with a history of median sternotomy. Early outcomes are reassuring, and we believe our approach is a safe and reliable alternative to median sternotomy within this patient population, with the ability to quickly convert intraoperatively when needed.
肺功能不全是法洛四联症修复后的已知并发症。现在超过 90%的患者能够存活至成年，因此外科医生再次面临何时以及更重要的是如何再次干预的问题。我们通过 5 厘米的左侧前小切口为该人群开发了一种新的肺动脉瓣置换方法。该切口经过优化，可用于暴露和操作胸骨正中切开术病史患者的右心室流出道和主肺动脉。早期结果令人安心，我们相信我们的方法对于该患者人群中的胸骨正中切开术是一种安全可靠的替代方法，并且能够在需要时快速进行术中转换。
