Najm Hani K, Ahmad Munir, Hammoud Miza Salim, Costello John P, Karamlou Tara
Department of Pediatric Cardiac Surgery and the Heart, Vascular, and Thoracic Institute, Cleveland Clinic Children's Hospital, Cleveland, Ohio.
Department of Pediatric Cardiac Surgery and the Heart, Vascular, and Thoracic Institute, Cleveland Clinic Children's Hospital, Cleveland, Ohio.
Ann Thorac Surg. 2023 Jan;115(1):e29-e31. doi: 10.1016/j.athoracsur.2022.04.027. Epub 2022 Apr 28.
We have previously described our novel surgical technique in addressing the anomalous aortic origin of the left coronary artery with a transseptal course behind the right ventricular outflow tract. By means of the Najm procedure, we performed complete unroofing of the transseptal anomalous aortic origin of the left coronary artery and elongated the right ventricular outflow tract posteriorly using an autologous pericardial patch. This report documents modifications to address challenging anatomic variants and highlights the importance of managing septal arteries and myocardial bridges. We also describe the excellent midterm outcomes of 14 patients who have undergone the Najm procedure.
我们之前已经描述了我们的新型手术技术，用于处理左冠状动脉异常起源且走行于右心室流出道后方经间隔的情况。通过Najm手术，我们对左冠状动脉经间隔异常主动脉起源进行了完全的去顶，并使用自体心包补片向后延长右心室流出道。本报告记录了应对具有挑战性的解剖变异的改良方法，并强调了处理间隔动脉和心肌桥的重要性。我们还描述了14例接受Najm手术患者的良好中期结果。
