经心外膜松解术预防新生儿动脉干修复术后管道压迫。
Periocardiophrenic Release to Prevent Conduit Compression After Neonatal Truncus Arteriosus Repair.
机构信息
Department of Cardiac Surgery, Children's National Hospital, Washington, DC; Department of Cardiothoracic Surgery, Lucile Packard Children's Hospital and Stanford University, Palo Alto, California.
Department of Cardiac Surgery, Children's National Hospital, Washington, DC.
出版信息
Ann Thorac Surg. 2022 Jun;113(6):e477-e479. doi: 10.1016/j.athoracsur.2021.09.044. Epub 2021 Oct 26.
Sternal approximation postcardiac surgery in neonates can sometimes be challenging. Neonatal truncus arteriosus repair using a right ventricle-to-pulmonary artery homograft conduit is one such surgical procedure wherein there is a risk of developing conduit compression after sternal closure. We describe our technique of pericardiophrenic release at the time of delayed sternal closure to prevent hemodynamic compromise and conduit compression after sternal approximation in such cases.
新生儿心脏手术后胸骨合拢有时会具有挑战性。使用右心室至肺动脉同种移植物进行新生儿动脉干修复就是这样一种手术，其中胸骨关闭后存在移植物受压的风险。我们描述了在延迟胸骨关闭时进行心包胸膜松解的技术，以防止在这种情况下胸骨合拢后发生血液动力学障碍和移植物受压。
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