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用于一名法洛四联症患儿右心室流出道手术重建的手工制作聚四氟乙烯三尖瓣导管

Hand-Made Polytetrafluoroethylene Tricuspid-Valved Conduit for Surgical Reconstruction of the Right Ventricular Outflow Tract in a Child With Truncus Arteriosus.

作者信息

Bhende Vishal V, Sharma Tanishq S, Majmudar Hardil P, Subramaniam Krishnan Ganapathy, Mehta Deepakkumar V, Kumar Amit, Patel Purvi R, Panesar Gurpreet, Soni Kunal, Dhami Kartik B, Patel Nirja, Pathan Sohilkhan R

机构信息

Pediatric Cardiac Surgery, Bhanubhai and Madhuben Patel Cardiac Centre, Bhaikaka University, Anand, IND.

Pediatric Cardiac Surgery, Sri Padmavati Pediatric Heart Centre, Sri Venkateswara Institute of Medical Sciences (SVIMS) Campus, Tirupati, IND.

出版信息

Cureus. 2022 Jul 20;14(7):e27062. doi: 10.7759/cureus.27062. eCollection 2022 Jul.

DOI:10.7759/cureus.27062
PMID:35891950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9303830/
Abstract

Although a new right ventricle outflow can be introduced during pulmonary artery reconstruction, it is a suboptimal option as the valved conduits that mimic the natural right ventricular outflow do not grow, and a surgical conduit replacement cannot be averted. This study reported the implementation of hand-made polytetrafluoroethylene (PTFE) tricuspid-valved conduits to rebuild the right ventricular outflow tract in toddlers with truncus arteriosus and risk factors for earlier conduit explant. Herein, we described a case report of a 9-month-old toddler diagnosed in November 2021 with truncus arteriosus type I with ventricular septal defect (VSD) and severe pulmonary arterial hypertension, who has been successfully discharged 20-days postoperative surgical reconstruction with good bi-ventricular functions. Hand-made PTFE tricuspid-valved conduits are efficient in the reconstruction process of the right ventricular outflow tract in children with truncus arteriosus. The conduits are cheap, easily available, and lack potential sensitization.

摘要

尽管在肺动脉重建过程中可以引入新的右心室流出道，但这是一个次优选择，因为模仿天然右心室流出道的带瓣管道不会生长，而且无法避免进行手术管道置换。本研究报告了使用手工制作的聚四氟乙烯（PTFE）三尖瓣带瓣管道，为患有共同动脉干且有早期管道取出风险因素的幼儿重建右心室流出道。在此，我们描述了一例9个月大幼儿的病例报告，该幼儿于2021年11月被诊断为I型共同动脉干合并室间隔缺损（VSD）和重度肺动脉高压，术后20天成功出院，双心室功能良好。手工制作的PTFE三尖瓣带瓣管道在共同动脉干患儿右心室流出道的重建过程中效果显著。这些管道价格便宜、易于获取，且不存在潜在致敏问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/c1b8d744a9ca/cureus-0014-00000027062-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/ef696bcbd4b5/cureus-0014-00000027062-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/58c663d349bd/cureus-0014-00000027062-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/139b8087adfe/cureus-0014-00000027062-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/0fb8317624c7/cureus-0014-00000027062-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/e7cd83206bc5/cureus-0014-00000027062-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/f19a54ebc3a5/cureus-0014-00000027062-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/c1b8d744a9ca/cureus-0014-00000027062-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/ef696bcbd4b5/cureus-0014-00000027062-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/58c663d349bd/cureus-0014-00000027062-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/139b8087adfe/cureus-0014-00000027062-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/0fb8317624c7/cureus-0014-00000027062-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/e7cd83206bc5/cureus-0014-00000027062-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/f19a54ebc3a5/cureus-0014-00000027062-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f2f/9303830/c1b8d744a9ca/cureus-0014-00000027062-i07.jpg

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