22957 Department of Surgery, Duke University Hospitals, Durham, NC, USA.
Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA.
Innovations (Phila). 2020 Mar/Apr;15(2):111-113. doi: 10.1177/1556984520911026.
A 12-year-old, 32 kg male with history of Tetralogy of Fallot status post repair at 8 days of life presented with progressive pulmonary insufficiency and left pulmonary artery stenosis. Surgical options were discussed, and the patient and his family elected to pursue minimally invasive pulmonary valve replacement with left pulmonary artery augmentation through a 5-cm left anterior mini-incision. The procedure was performed without complication, and he was discharged on postoperative day 3. At the time of his last follow-up, the patient was recovering well without evidence of pulmonary stenosis or insufficiency.
一名 12 岁、32 公斤重的男性,出生后 8 天行法洛四联症根治术后,出现进行性肺功能不全和左肺动脉狭窄。讨论了手术选择,患者及其家属选择通过 5 厘米的左前胸小切口行微创肺动脉瓣置换和左肺动脉增粗术。手术过程顺利,术后第 3 天出院。最后一次随访时,患者恢复良好,无肺动脉狭窄或功能不全的证据。