Shimamura Yoshiei, Aze Koji, Maisawa Kazuma, Nomura Koji
Department of Cardiovascular Surgery, Saitama City Hospital, Saitama, Japan.
Kyobu Geka. 2020 Nov;73(12):978-981.
A 32-year-old woman was referred to our hospital for the surgical indication of sinus venosus-type atrial septal defect. Preoperative computed tomography scan revealed that the right upper pulmonary vein returned to the high superior vena cava. We performed a modified Warden procedure using a pedicle flap of the right atrial appendage along with a fresh autologous pericardium. Her postoperative course was uneventful with no venous obstruction or sinus node dysfunction. This technique is a useful surgical option for a partial anomalous pulmonary venous connection especially in adults.
一名32岁女性因静脉窦型房间隔缺损的手术指征被转诊至我院。术前计算机断层扫描显示右上肺静脉回流至高位上腔静脉。我们采用右心耳带蒂皮瓣联合新鲜自体心包进行了改良Warden手术。她术后恢复顺利，未出现静脉梗阻或窦房结功能障碍。该技术对于部分性肺静脉异位连接尤其是成人患者而言是一种有用的手术选择。
