Ionescu M I, Deac R C
Thorax. 1970 Jul;25(4):427-35. doi: 10.1136/thx.25.4.427.
Because there is no `ideal' method for the complete correction of some of the more complex congenital cardiac abnormalities, a technique of making a composite graft of autologous fascia lata has been developed. Three types of grafts are described, all of them being based on the same general principle. The composite graft comprises a conduit, which serves to enlarge or reconstruct the outflow tract of the right ventricle and the main pulmonary artery, and an inner valve attached inside it, which provides the conduit with a one-way flow mechanism. The technique of preparing these composite grafts is outlined and the surgical implantation of the grafts in the right ventricular outflow is described. Since November 1969, fascia lata composite grafts have been used in 18 patients with a variety of complex congenital heart malformations with very good early results.
由于对于某些较为复杂的先天性心脏畸形，尚无“理想”的完全矫正方法，因此已开发出一种制作自体阔筋膜复合移植物的技术。文中描述了三种类型的移植物，它们均基于相同的一般原则。复合移植物包括一个管道，用于扩大或重建右心室流出道和主肺动脉，以及一个附着在其内部的内瓣膜，该瓣膜为管道提供单向流动机制。文中概述了制备这些复合移植物的技术，并描述了将移植物手术植入右心室流出道的过程。自1969年11月以来，阔筋膜复合移植物已用于18例患有各种复杂先天性心脏畸形的患者，早期效果非常好。
