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使用大型同种异体动脉对法洛四联症进行完全矫正后的心血管造影。

Angiocardiography after total correction of tetralogy of Fallot using large homograft arteries.

作者信息

Fujino M, Kozuka T, Yokota K, Ohta M, Kawashima Y, Kitamura S, Ohyama C, Tomokuni T, Sato K

出版信息

AJR Am J Roentgenol. 1977 Feb;128(2):243-8. doi: 10.2214/ajr.128.2.243.

DOI:10.2214/ajr.128.2.243
PMID:401610
Abstract

Postoperative angiocardiographic findings were examined in eight patients whose pulmonary artery was reconstructed using an aortic or pulmonary homograft with valve. Apparent dilatation of the outflow tract of the right ventricle was seen in three patients. Only four showed valve mobility, with function judged almost normal in two of them. Calcification in a valve was not seen. The pulmonary trunk showed three directional patters, and stenosis was clearly observed in two cases. calcification of the pulmonary trunk was seen in only one case. The most difficult problem in the reconstruction of the pulmonary artery is the high incidence of pulmonary stenosis.

摘要

对8例使用带瓣主动脉或肺动脉同种异体移植物重建肺动脉的患者进行了术后心血管造影检查。3例患者出现右心室流出道明显扩张。只有4例显示瓣膜活动,其中2例功能判断基本正常。未发现瓣膜钙化。肺动脉主干呈现三种走向模式,2例明显观察到狭窄。仅1例出现肺动脉主干钙化。肺动脉重建中最困难的问题是肺动脉狭窄的高发生率。

相似文献

1
Angiocardiography after total correction of tetralogy of Fallot using large homograft arteries.使用大型同种异体动脉对法洛四联症进行完全矫正后的心血管造影。
AJR Am J Roentgenol. 1977 Feb;128(2):243-8. doi: 10.2214/ajr.128.2.243.
2
Use of large homograft artery with semilunar valve for correction of tetralogy of fallot. A follow-up study.使用带半月瓣的大型同种异体动脉矫正法洛四联症。一项随访研究。
J Thorac Cardiovasc Surg. 1974 May;67(5):685-93.
3
[Tetralogy of Fallot with pulmonary artery atresia. Complete repair using an aortic homograft].[法洛四联症合并肺动脉闭锁。使用主动脉同种异体移植物进行完全修复]
Pediatrie. 1972 Sep;27(6):669-74.
4
[Percutaneous transluminal angioplasty of stenosis of the pulmonary arteries after surgical repair of tetralogy of Fallot].
Arch Mal Coeur Vaiss. 1989 May;82(5):701-6.
5
[New method of the right ventricular outflow reconstruction in corrective surgery of the tetralogy of Fallot: application of the valve retaining pulmonary artery graft as a patch].法洛四联症矫治手术中右心室流出道重建的新方法:保留瓣膜的肺动脉移植物作为补片的应用
Kyobu Geka. 1969 Nov;22(11):800-3.
6
Reoperation for severe right ventricular dilatation after tetralogy of Fallot repair: pulmonary infundibuloplasty should be added to homograft implantation.法洛四联症修复术后严重右心室扩张的再次手术:同种异体移植植入应加做肺动脉漏斗部成形术。
J Heart Valve Dis. 2004 Mar;13(2):307-12.
7
[Reoperation of tetralogy of Fallot long after correction with aortic homograft: a case report].
Kyobu Geka. 1990 Mar;43(3):215-8.
8
Reconstruction of the pulmonary valve and outflow tract. A report of 25 cases.肺动脉瓣及流出道重建。25例报告。
J Thorac Cardiovasc Surg. 1973 Feb;65(2):245-51.
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[Single cusp homograft implantation in the reconstruction of right ventricular outflow tract in the correction of tetralogy of Fallot].[单尖瓣同种异体移植术在法洛四联症矫治中右心室流出道重建中的应用]
Schweiz Med Wochenschr. 1992 Jun 20;122(25):975-8.
10
A new method of right ventricular outflow reconstruction in corrective surgery for tetralogy of Fallot. The application of the valve-retaining pulmonary artery graft as a patch.法洛四联症矫治手术中一种新的右心室流出道重建方法。保留瓣膜的肺动脉移植物作为补片的应用。
J Thorac Cardiovasc Surg. 1970 Apr;59(4):512-7.