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改良比约克手术治疗三尖瓣闭锁后的再次手术

Reoperation after modified Björk procedure for tricuspid atresia.

作者信息

Chatti Sana, Ghedira Faker, Mahfoudhi Houaida, Mrad Melek Ben, Messai Mohamed, Nouar Mohamed, Denguir Raouf

机构信息

Department of Cardiovascular Surgery, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis El Manar, Tunis, Tunisia.

Department of Cardiology, Faculty of Medicine of Tunis, Military Hospital, University of Tunis El Manar, Tunis, Tunisia.

出版信息

Ann Pediatr Cardiol. 2021 Oct-Dec;14(4):530-532. doi: 10.4103/apc.apc_213_20. Epub 2022 Mar 25.

DOI:10.4103/apc.apc_213_20
PMID:35527764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9075562/
Abstract

Rarely performed nowadays, the Björk procedure is an alternative to the Fontan palliation for biventricular repair in patients with tricuspid atresia. The right atrium to right ventricle conduit failure leads to serious long-term complications. The management of such patients at high surgical risk remains challenging. We report a successful reoperation in a young adult 25 years after the modified Björk intervention, who presented with severely narrowed and calcified valved conduit.

摘要

如今很少实施的比约克手术，是三尖瓣闭锁患者双心室修复中Fontan姑息术的一种替代方法。右心房到右心室的管道衰竭会导致严重的长期并发症。对这类手术风险高的患者进行管理仍然具有挑战性。我们报告了一例在改良比约克手术后25年的年轻成人患者成功进行再次手术的病例，该患者出现严重狭窄和钙化的带瓣管道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/9471aa5c0887/APC-14-530-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/4b51ebabef76/APC-14-530-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/176fd2949275/APC-14-530-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/501310054c7d/APC-14-530-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/9471aa5c0887/APC-14-530-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/4b51ebabef76/APC-14-530-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/176fd2949275/APC-14-530-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/501310054c7d/APC-14-530-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5cf/9075562/9471aa5c0887/APC-14-530-g004.jpg

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Reoperation after modified Björk procedure for tricuspid atresia.改良比约克手术治疗三尖瓣闭锁后的再次手术
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本文引用的文献

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Converting Fontan-Björk to 1.5- or 2-Ventricle Circulation.Fontan-Björk 改道术至 1.5 心室或 2 心室循环。
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Successful reoperation of the valveless calcified right atrium to right ventricle conduit in an adult patient with tricuspid atresia after Fontan procedure.在法桐手术后，一名三尖瓣闭锁成年患者的无瓣钙化右心房到右心室管道再次成功手术。
Eur J Cardiothorac Surg. 2012 Mar;41(3):e18-20. doi: 10.1093/ejcts/ezr223. Epub 2012 Jan 4.
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Modified bjork procedure for tricuspid atresia with pulmonary hypertension.改良比约克手术治疗伴有肺动脉高压的三尖瓣闭锁
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Transcutaneous Melody valve implantation in "tricuspid position" after a Fontan Björk (RA-RV homograft) operation results in biventricular circulation.经皮 Melody 瓣膜植入 Fontan Björk（右心房-右心室同种移植物）术后的“三尖瓣位置”可导致双心室循环。
Int J Cardiol. 2010 Jul 23;142(3):e45-7. doi: 10.1016/j.ijcard.2008.11.185. Epub 2009 Jan 15.
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The failing Fontan: options for surgical therapy.功能衰竭的Fontan手术：手术治疗方案
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9
Revision of previous Fontan connections to total extracardiac cavopulmonary anastomosis: A multicenter experience.将先前的Fontan连接术修订为完全心外腔肺吻合术：一项多中心经验。
J Thorac Cardiovasc Surg. 2000 Feb;119(2):340-6. doi: 10.1016/S0022-5223(00)70190-5.
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Right atrial-right ventricular anastomosis for correction of tricuspid atresia.
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