Haranal Maruti, Srimurugan Balaji, Sivalingam Sivakumar
Department of Cardiac Surgery, National Heart Institute, #125, Jalan Tun Razak, 50400 Kuala Lumpur, Malaysia.
Department of Pediatric Cardiac Surgery, Amrita Institute of Medical Sciences, Kochi, India.
Indian J Thorac Cardiovasc Surg. 2022 May;38(3):283-289. doi: 10.1007/s12055-021-01307-w. Epub 2022 Jan 23.
The pulmonary artery anatomy is one of the important determinants of Fontan completion and its outcomes in patients with functionally univentricular hearts. Despite several modifications to Fontan operation, unbalanced pulmonary arteries pose a significant challenge in this subset of patients. Intrapulmonary artery septation is a technique, developed to rehabilitate the unilateral hypoplastic pulmonary artery following various initial palliative procedures in functionally univentricular hearts. Literature is sparse on this technique. This article reviews the basic concepts and literature on intrapulmonary artery septation. We also describe our experience with modified intrapulmonary artery septation.
肺动脉解剖结构是功能性单心室心脏患者Fontan手术完成情况及其预后的重要决定因素之一。尽管Fontan手术有多种改良方法，但不平衡的肺动脉在这类患者中构成了重大挑战。肺内动脉分隔术是一种在功能性单心室心脏患者经过各种初始姑息性手术后，用于修复单侧发育不良肺动脉的技术。关于该技术的文献较少。本文回顾了肺内动脉分隔术的基本概念和相关文献。我们还描述了我们在改良肺内动脉分隔术方面的经验。
