University of Minnesota, Minneapolis, MN, USA.
Maria Fareri Children's Hospital, Westchester Medical Center, Valhalla, NY, USA.
Multimed Man Cardiothorac Surg. 2023 Mar 13;2023. doi: 10.1510/mmcts.2022.115.
The current case represents one of the complications that may occur when inserting a stent in the left pulmonary artery after a previous Norwood procedure and in the presence of an aneurysmal neo-aorta and large Damus-Kaye-Stansel connection. We demonstrate the technique of a fourth sternotomy with reconstruction of the left pulmonary artery and the neo-aorta in a 12-year-old boy with a functional single ventricle who underwent all three previous stages of palliation of hypoplastic left heart syndrome.
本病例代表了先前诺伍德手术后在左肺动脉中置入支架以及存在动脉瘤性新主动脉和大的达姆斯-凯-斯坦塞尔连接时可能出现的并发症之一。我们展示了在一名 12 岁的功能性单心室患者中进行第四次胸骨切开术并重建左肺动脉和新主动脉的技术，该患者经历了所有三个先前的左心发育不全综合征姑息治疗阶段。
