在法洛四联症手术中，对于需要跨环补片以缓解右心室流出道梗阻的儿童，采用新型单叶肺动脉瓣重建技术。
Novel technique of monocuspid reconstruction of pulmonary valve in children requiring transannular patch for right ventricular outflow tract relief during tetralogy of Fallot surgery.
作者信息
Benedict Raj, Nalluri Rhazane, Vemala Vasudev
机构信息
Division of Cardiothoracic Surgery, Children's Heart Institute, Aster Ramesh Hospitals, Vijayawada, Andhra Pradesh 520008 India.
Division of Paediatric Cardiac Surgery, KIMS Hospital, Hyderabad, Telangana India.
出版信息
Indian J Thorac Cardiovasc Surg. 2025 Jan;41(1):83-88. doi: 10.1007/s12055-024-01849-9. Epub 2024 Oct 28.
UNLABELLED
Tetralogy of Fallot (TOF) repair involves the placement of a transannular patch (TAP) to relieve right ventricular outflow tract (RVOT) obstruction. TAP results in free pulmonary regurgitation (PR) after surgery. PR is responsible for most of the long-term complications in patients with operated TOF. To overcome this problem of PR we describe a novel method of monocusp reconstruction of the pulmonary valve using autologous pericardium in children requiring TAP. Newly created monocusp pulmonary valves reduce PR, help in faster recovery from surgery, and reduce long-term issues associated with repaired TOF.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s12055-024-01849-9.
未标注
法洛四联症（TOF）修复术包括放置跨环补片（TAP）以缓解右心室流出道（RVOT）梗阻。TAP术后会导致自由性肺动脉反流（PR）。PR是TOF手术患者大多数长期并发症的原因。为克服PR这一问题，我们描述了一种在需要TAP的儿童中使用自体心包进行肺动脉瓣单叶重建的新方法。新创建的单叶肺动脉瓣可减少PR，有助于更快从手术中恢复，并减少与TOF修复相关的长期问题。
补充信息
在线版本包含可在10.1007/s12055-024-01849-9获取的补充材料。
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