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肺动脉环扎术:63例患者的长期结果

Pulmonary artery banding: long-term results in 63 patients.

作者信息

Mahle S, Nicoloff D M, Knight L, Moller J H

出版信息

Ann Thorac Surg. 1979 Mar;27(3):216-24. doi: 10.1016/s0003-4975(10)63277-8.

DOI:10.1016/s0003-4975(10)63277-8
PMID:453984
Abstract

Sixty-three patients who underwent banding of the pulmonary artery between 1968 and 1975 were studied. Mortality among patients who underwent the banding procedure was 22%, and among those with ventricular septal defect it was 7%. Thirty-eight of the 49 survivors of the banding procedure were investigated for abnormalities of the pulmonary outflow tract caused by the band. Seventy-one percent of these 38 patients had an identifiable abnormality of the pulmonary valve or artery. These complications occurred more frequently in patients banded at a very young age (less than 2 months old) and in patients in whom the band was in place more than two years. Corrective operations have been performed in 24 of the 49 patients who survived banding. Seventy-six percent of the patients with ventricular septal defect survived corrective operation, while only 29% of the patients with more complex lesions survived.

摘要

对1968年至1975年间接受肺动脉束带术的63例患者进行了研究。接受束带术患者的死亡率为22%,室间隔缺损患者的死亡率为7%。对束带术49名幸存者中的38名进行了调查,以了解束带导致的肺流出道异常情况。这38例患者中有71%存在可识别的肺动脉瓣或动脉异常。这些并发症在年龄很小(小于2个月)接受束带术的患者以及束带放置超过两年的患者中更常见。在束带术存活的49例患者中,有24例接受了矫正手术。室间隔缺损患者中有76%在矫正手术后存活,而病变更复杂的患者中只有29%存活。

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Pulmonary artery banding: long-term results in 63 patients.肺动脉环扎术:63例患者的长期结果
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2
Pulmonary banding complicated by low origin of right pulmonary artery.肺动脉环扎术合并右肺动脉起始部位置偏低。
Tex Heart Inst J. 1993;20(3):238-40.
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Repair of large ventricular septal defects in infants and small children.婴幼儿大室间隔缺损的修复
Ann Surg. 1982 Mar;195(3):318-22. doi: 10.1097/00000658-198203000-00012.
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Surgical management of double inlet ventricle.
World J Surg. 1985 Aug;9(4):579-89. doi: 10.1007/BF01656059.
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Periarterial abscess: another cause of cyanosis after pulmonary artery banding.动脉周围脓肿:肺动脉环扎术后发绀的另一个原因。
Br Heart J. 1988 Oct;60(4):355-7. doi: 10.1136/hrt.60.4.355.
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Pulmonary artery banding revisited.再探肺动脉环扎术。
Ann Surg. 1989 May;209(5):642-7; discussion 647. doi: 10.1097/00000658-198905000-00018.
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Reparative cardiac surgery in infants and small children: Five years experience with profound hypothermia and circulatory arrest.婴幼儿心脏修复手术:深低温停循环五年经验
Ann Surg. 1979 Oct;190(4):437-43. doi: 10.1097/00000658-197910000-00003.