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无需术前外科准备的经导管Fontan手术完成：这是前进的方向吗？

Catheter-Based Fontan Completion Without Prior Surgical Preparation: Is This the Way Forward?

作者信息

Sivaprakasam Muthukumaran Chinnasamy, Ganesan Rajaguru, S Ramkishore, A Saranya, Girija Haritha, V Arun, V Mahitha, Solomon Neville

机构信息

Department of Pediatric Cardiology, Apollo Children's Hospital, Chennai, Tamilnadu, India.

Department of Cardiothoracic Surgery, Apollo Children's Hospital, Chennai, Tamilnadu, India.

出版信息

JACC Case Rep. 2024 Nov 6;29(21):102657. doi: 10.1016/j.jaccas.2024.102657.

DOI:10.1016/j.jaccas.2024.102657
PMID:39619046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11602610/
Abstract

We report 3 cases of transcatheter Fontan completion in conventional Glenn anastomosis patients without surgical preparation by creating a tunnel between the pulmonary artery and right atrium. Cavocaval anastomosis is established by placing a covered stent graft within the scaffold created with the uncovered stents at the pulmonary artery-right atrium and inferior vena cava-right atrium junction.

摘要

我们报告了3例在传统格林吻合术患者中进行经导管Fontan手术完成的病例，这些患者未进行外科手术准备，而是通过在肺动脉和右心房之间创建一个通道来实现。通过在肺动脉-右心房和下腔静脉-右心房交界处用裸支架创建的支架内放置覆膜支架移植物来建立腔静脉吻合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/27e18caa0f42/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/d857742700aa/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/9a931dcd2fee/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/de82ae900712/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/0346b8de3456/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/f5343cd2a110/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/33f5d6c4012b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/1595fcbd3131/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/27e18caa0f42/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/d857742700aa/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/9a931dcd2fee/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/de82ae900712/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/0346b8de3456/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/f5343cd2a110/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/33f5d6c4012b/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/1595fcbd3131/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5824/11602610/27e18caa0f42/gr7.jpg

相似文献

1
Catheter-Based Fontan Completion Without Prior Surgical Preparation: Is This the Way Forward?无需术前外科准备的经导管Fontan手术完成：这是前进的方向吗？
JACC Case Rep. 2024 Nov 6;29(21):102657. doi: 10.1016/j.jaccas.2024.102657.
2
Cardiovascular anatomy in children with bidirectional Glenn anastomosis, regarding the transcatheter Fontan completion.双向 Glenn 吻合术患儿的心血管解剖结构与经导管 Fontan 完成术。
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[Pulmonary ventricle bypass operations].[肺动脉心室旁路手术]
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Novel method of surgical preparation for transcatheter completion of Fontan circulation: creation of an extracardiac pathway.经导管完成Fontan循环的手术准备新方法：创建心外通路。
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Conversion of atriopulmonary or lateral atrial tunnel cavopulmonary anastomosis to extracardiac conduit Fontan modification.将心房肺或侧心房隧道腔肺吻合术转换为心外管道Fontan改良术。
Eur J Cardiothorac Surg. 1999 Feb;15(2):150-7; discussion 157-8. doi: 10.1016/s1010-7940(98)00315-7.

本文引用的文献

1
Cardiovascular anatomy in children with bidirectional Glenn anastomosis, regarding the transcatheter Fontan completion.双向 Glenn 吻合术患儿的心血管解剖结构与经导管 Fontan 完成术。
Arch Cardiovasc Dis. 2018 Apr;111(4):257-269. doi: 10.1016/j.acvd.2017.08.003. Epub 2017 Nov 13.
2
Novel method of surgical preparation for transcatheter completion of Fontan circulation: creation of an extracardiac pathway.经导管完成Fontan循环的手术准备新方法：创建心外通路。
Arch Cardiovasc Dis. 2014 Jun-Jul;107(6-7):371-80. doi: 10.1016/j.acvd.2014.05.003. Epub 2014 Jun 24.
3
Hybrid management strategy for percutaneous Fontan completion without surgery: early results.
经皮 Fontan 完成术的杂交管理策略：早期结果。
Ann Thorac Surg. 2011 Feb;91(2):566-72; discussion 572-3. doi: 10.1016/j.athoracsur.2010.08.034.
4
A new surgical technique for transcatheter Fontan completion.一种新的经导管 Fontan 完成术的外科技术。
Eur J Cardiothorac Surg. 2011 Jan;39(1):81-5. doi: 10.1016/j.ejcts.2010.04.023. Epub 2010 Jun 11.
5
Fontan completion without surgery.无需手术的Fontan手术完成
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2004;7:48-55. doi: 10.1053/j.pcsu.2004.02.006.
6
Fontan modification for subsequent non-surgical Fontan completion.用于后续非手术性Fontan手术完成的Fontan改良术。
Eur J Cardiothorac Surg. 1998 May;13(5):509-12; discussion 512-3. doi: 10.1016/s1010-7940(98)00050-5.