Barbero-Marcial M, Rizzo A, Lopes A A, Bittencourt D, Junior J O, Jatene A D
Instituto do Coração, University of São Paulo Medical School, Brazil.
J Thorac Cardiovasc Surg. 1987 Dec;94(6):911-4.
A child with pulmonary atresia and ventricular septal defect and no extraparenchymal pulmonary arteries had all the bronchopulmonary arterial segments connected to naturally occurring systemic-pulmonary collaterals. A three-staged surgical correction was performed. At the first and second stages, the arteries of each hilus were interconnected with synthetic arteries. At the third stage, the ventricular septal defect was closed, and continuity between the right ventricle and the bilateral pulmonary circulation was established with a valved conduit giving rise to a side arm. Postoperative evolution was good, with acceptable postrepair per right ventricular--left ventricular pressure ratio.
一名患有肺动脉闭锁和室间隔缺损且无肺实质外肺动脉的儿童，其所有支气管肺动脉段均与自然形成的体肺侧支相连。进行了三阶段手术矫正。在第一和第二阶段，每个肺门的动脉通过人工合成动脉相互连接。在第三阶段，关闭室间隔缺损，并通过带有侧支的带瓣管道建立右心室与双侧肺循环之间的连续性。术后病情进展良好，右心室与左心室压力比在修复后可接受。
