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通过左前小切口对漏斗胸年轻患者进行微创肺动脉瓣置换术。首选手术方式。

Minimally invasive pulmonary valve replacement through a left anterior minithoracotomy in young patients with pectus excavatum. The procedure of choice.

作者信息

Ioannou Stelios, Shiakos George, Ocker Volker, Rousounides Andreas, Tzanavaros Ioannis

机构信息

Department of Pediatric and Adult Cardiac Surgery, Cardiac Innovation Center of Apollonion Private Hospital, Lefkotheou Avenue 20, 2054 Strovolos, Nicosia, Cyprus.

Pediatric Cardiologist, Medical Office, 215, Spyrou Kyprianou Ave, P.O. Box 25610, 1311, 2047 Strovolos, Nicosia, Cyprus.

出版信息

J Surg Case Rep. 2024 Aug 8;2024(8):rjae500. doi: 10.1093/jscr/rjae500. eCollection 2024 Aug.

DOI:10.1093/jscr/rjae500
PMID:39119537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11308932/
Abstract

This case series presents two young patients with severe pulmonary valve regurgitation and pectus excavatum. Both patients underwent surgical repair of tetralogy of Fallot and pulmonary valvulotomy, respectively, during infancy and remained under close cardiological monitoring thereafter. After the diagnosis of severe pulmonary regurgitation was confirmed, both were referred to our center for pulmonary valve replacement. Minimally invasive pulmonary valve replacement was performed through a left anterior minithoracotomy. The swift recovery and return to daily activities observed in the presented cases suggest that minimally invasive pulmonary valve replacement through a left anterior minithoracotomy could indeed be considered the procedure of choice for patients with pectus excavatum.

摘要

本病例系列介绍了两名患有严重肺动脉瓣反流和漏斗胸的年轻患者。两名患者分别在婴儿期接受了法洛四联症手术修复和肺动脉瓣切开术，此后一直处于密切的心脏监测之下。在确诊为严重肺动脉反流后，两人均被转诊至我们中心进行肺动脉瓣置换。通过左前侧小切口开胸进行了微创肺动脉瓣置换。在所呈现的病例中观察到的快速康复和恢复日常活动表明，通过左前侧小切口开胸进行微创肺动脉瓣置换确实可以被视为漏斗胸患者的首选手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/83fad2254254/rjae500f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/2fd0da1ea2a5/rjae500f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/f5d7997f6914/rjae500f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/cac9fe4888b8/rjae500f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/83fad2254254/rjae500f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/2fd0da1ea2a5/rjae500f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/f5d7997f6914/rjae500f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/cac9fe4888b8/rjae500f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf68/11308932/83fad2254254/rjae500f4.jpg

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本文引用的文献

1
Transcatheter Versus Surgical Pulmonary Valve Replacement: A Systemic Review and Meta-Analysis.经导管与外科肺动脉瓣置换术：系统评价与荟萃分析
Ann Thorac Surg. 2020 Nov;110(5):1751-1761. doi: 10.1016/j.athoracsur.2020.03.007. Epub 2020 Apr 5.
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Clinical outcomes of transcatheter versus surgical pulmonary valve replacement: a meta-analysis.经导管与外科肺动脉瓣置换术的临床结局：一项荟萃分析。
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Pulmonary regurgitation: not a benign lesion.肺动脉反流：并非良性病变。
Eur Heart J. 2005 Mar;26(5):433-9. doi: 10.1093/eurheartj/ehi091. Epub 2005 Jan 7.
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Percutaneous balloon valvuloplasty for pulmonic stenosis in adolescents and adults.青少年及成人肺动脉狭窄的经皮球囊瓣膜成形术
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Independent predictors of long-term results after balloon pulmonary valvuloplasty. Valvuloplasty and Angioplasty of Congenital Anomalies (VACA) Registry Investigators.球囊肺动脉瓣成形术后长期结果的独立预测因素。先天性畸形瓣膜成形术和血管成形术（VACA）注册研究人员。
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