应用活体组织技术行三尖瓣瓣叶重建治疗房室间隔缺损合并法洛四联症
Technique for Neo-Pulmonary Valve Creation With Living Tissue for Repair of Atrioventricular Septal Defect and Tetralogy of Fallot.
机构信息
Department of Surgery, Division of Cardiothoracic Surgery, 12275Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri, USA.
12275Washington University School of Medicine, St. Louis, Missouri, USA.
出版信息
World J Pediatr Congenit Heart Surg. 2022 Jul;13(4):499-502. doi: 10.1177/21501351221096048.
Long-standing effects of pulmonary regurgitation after transannular patch repair in Tetralogy of Fallot (ToF) can be especially deleterious in the setting of combined ToF and complete atrioventricular septal defect (CAVSD). We present a technique for a complete repair of combined ToF/CAVSD using right atrial appendage tissue to create a competent neo-pulmonary valve. This technique provides advantages of right heart protection via pulmonary valve competence and the use of living tissue capable of growth with the patient, potentially obviating the need for repeat interventions.
法洛四联症（ToF）患者行跨瓣环补片修复后出现的肺动脉瓣反流可导致长期不良后果，尤其是在合并完全性房室间隔缺损（CAVSD）的情况下。我们介绍了一种使用右心耳组织来创建有功能的新肺动脉瓣，从而完全修复合并 ToF/CAVSD 的技术。该技术的优势在于通过肺动脉瓣的功能保留了右心功能，并使用了能够随患者生长的有活力的组织，从而可能避免重复干预。
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