Halder Vikram, Ghosh Soumitra, Shrimanth Yamasandi Siddegowda, Manoj Rohit Kumar, Mandal Banashree, Thingnam Shyam Kumar Singh, Kumar Rupesh
Department of Cardiothoracic and Vascular Surgery, Advanced Cardiac Center, Postgraduate Institute of Medical Education and Research Chandigarh 160012, India.
Department of Cardiology, Advanced Cardiac Center, Postgraduate Institute of Medical Education and Research Chandigarh 160012, India.
Am J Cardiovasc Dis. 2021 Oct 25;11(5):642-646. eCollection 2021.
Fetal cardiac intervention is an in-utero cardiac procedure done in fetuses with heart diseases like severe aortic stenosis with evolving hypoplastic left heart syndrome, hypoplastic left heart syndrome with an intact or restricted atrial septum, pulmonary atresia with an intact ventricular septum, fetal heart block obstructed total anomalous pulmonary venous return, pericardial collection. The successful biventricular repair can be done in postnatal life after aortic or pulmonary valvuloplasty. Fetal bypass is very challenging because of different physiology. Low prime volume with the high flow can be used to prevent an inflammatory response.
胎儿心脏介入是一种针对患有心脏病的胎儿在子宫内进行的心脏手术，这些心脏病包括严重主动脉瓣狭窄合并逐渐发展的左心发育不全综合征、房间隔完整或受限的左心发育不全综合征、室间隔完整的肺动脉闭锁、胎儿心脏传导阻滞、完全性肺静脉异位引流梗阻、心包积液。在进行主动脉或肺动脉瓣成形术后，可在出生后进行成功的双心室修复。由于生理情况不同，胎儿体外循环极具挑战性。可采用低预充量和高流量来预防炎症反应。
