使用左心室作为肺动脉下心室进行 1.5 心室修复。
1.5-Ventricle Repair Using Left Ventricle as the Subpulmonary Ventricle.
机构信息
Department of Cardiac Surgery, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
Department of Cardiology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
出版信息
Ann Thorac Surg. 2020 Dec;110(6):e529-e530. doi: 10.1016/j.athoracsur.2020.04.071. Epub 2020 Jun 3.
The use of the left ventricle as the subpulmonary ventricle to achieve a 1.5 or biventricular circulation is feasible in heterotaxy patients with complex intracardiac anatomy and acceptable right ventricular function. It is an alternative in patients who are not ideal candidates for single-ventricle palliation. We highlight 2 cases in which patients were rescued from a failed Fontan palliation and demonstrated improved functional status with normal saturations.
将左心室用作肺动脉下心室以实现 1.5 心室或双心室循环，在具有复杂心内解剖结构和可接受的右心室功能的异构患者中是可行的。对于不适合单心室姑息治疗的患者，这是一种替代方法。我们强调了 2 例患者，他们从失败的 Fontan 姑息治疗中得到挽救，并表现出正常饱和度的功能状态改善。
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