Deverall P B, Lincoln J C, Aberdeen E, Bonham-Carter R E, Waterston D J
Thorax. 1969 Mar;24(2):239-45. doi: 10.1136/thx.24.2.239.
Tricuspid atresia is one of the less common forms of congenital heart disease. The results of palliative surgery in 72 children are presented. Cardiac catheterization and angiocardiography are essential for precise definition of the anomaly. There is a 20% incidence of obstruction at atrial septal level. Closed atrial septostomy is of value in such cases in infancy. In most there is a reduced pulmonary blood flow. This may be increased by anastomosis of either the superior vena cava or a systemic artery to the pulmonary artery. The caval anastomosis, while having theoretical advantages, is not always possible, especially in small infants. In this series systemic arterial shunts have given at least comparable results, suggesting that both techniques are of value with this anomaly.
三尖瓣闭锁是先天性心脏病中较少见的一种形式。本文介绍了72例儿童姑息性手术的结果。心导管检查和心血管造影对于准确界定该异常情况至关重要。房间隔水平梗阻的发生率为20%。闭式房间隔造口术对婴儿期此类病例有价值。大多数病例肺血流量减少。可通过上腔静脉或体动脉与肺动脉吻合来增加肺血流量。腔静脉吻合虽有理论优势，但并不总是可行，尤其是在小婴儿中。在本系列研究中，体动脉分流术至少取得了相当的效果，表明这两种技术对此类异常情况均有价值。
