Nagase Takashi, Yamagishi Masaaki, Maeda Yoshinobu, Asada Satoshi, Hongu Hisayuki, Yamashita Eijiro, Nakai Rie, Yaku Hitoshi
Department of Pediatric Cardiovascular Surgery, Children's Medical Center, and Division of Cardiovascular Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Department of Pediatric Cardiovascular Surgery, Children's Medical Center, and Division of Cardiovascular Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ann Thorac Surg. 2023 Jan;115(1):e11-e13. doi: 10.1016/j.athoracsur.2022.02.039. Epub 2022 Mar 5.
In pediatric cardiovascular surgery, the autologous pericardium is useful for pulmonary artery augmentation. However, in some cases, the autologous pericardium may not be available for various reasons. Since 2014, we have developed tissue-engineered vascular grafts (TEVGs) and obtained good results. We report a successful case of multiple pulmonary artery plasty with TEVGs for pulmonary atresia/ventricular septal defect with major aortopulmonary collateral arteries. TEVGs are useful alternatives to autologous pericardium in pediatric cardiovascular operations that often require multistage procedures.
在小儿心血管外科手术中,自体心包对肺动脉扩大术很有用。然而,在某些情况下,由于各种原因可能无法获得自体心包。自2014年以来,我们研发了组织工程血管移植物(TEVG)并取得了良好效果。我们报告了一例使用TEVG进行多次肺动脉成形术治疗肺动脉闭锁/室间隔缺损合并主要体肺侧支动脉的成功病例。在常常需要多阶段手术的小儿心血管手术中,TEVG是自体心包的有用替代物。