将自体无名静脉用作肺动脉在肺动脉闭锁和肺动脉缺如患者中的替代物。
Using the autologous innominate vein as a substitute for pulmonary arteries in a patient with pulmonary atresia and absent pulmonary arteries.
机构信息
Shiraz University of Medical Sciences, Shiraz, Iran.
Islamic Azad University, Kazerun, Iran.
出版信息
J Cardiothorac Surg. 2021 Apr 15;16(1):89. doi: 10.1186/s13019-021-01489-9.
BACKGROUND
Repair of the absence of the whole or major parts of pulmonary arteries is a challenge, and the choice of conduit material to reconstruct the pulmonary arteries is under dispute. We used the autologous innominate vein to construct pulmonary arteries.
CASE PRESENTATION L
We present a novel technique using the autologous innominate vein as a free graft in a 6-month-old infant with pulmonary atresia and absence of central pulmonary arteries. Double ductus arteriosus were the only source of perfusion of the lungs. The innominate vein was substituted for the central pulmonary artery between the two lung hila. Total repair by using Contegra graft was performed 9 months later. The patient has been followed for 5 years.
CONCLUSIONS
The autologous innominate vein could be used as inter-hilar pulmonary arteries with no calcification and fibrosis in 5-year follow-up.
背景
修复整个或大部分肺动脉缺失是一个挑战，而用于重建肺动脉的导管材料的选择仍存在争议。我们使用自体无名静脉来构建肺动脉。
病例报告
我们介绍了一种新的技术，在一名 6 个月大的患有肺动脉闭锁和中央肺动脉缺失的婴儿中，使用自体无名静脉作为游离移植物。双动脉导管是肺部唯一的灌注源。无名静脉被替代为两个肺门之间的中央肺动脉。9 个月后，使用康蒂格拉移植物进行了全修复。患者已随访 5 年。
结论
在 5 年的随访中，自体无名静脉可以用作无钙化和纤维化的肺门间肺动脉。
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