Oelert H, Borst H G
Thorac Cardiovasc Surg. 1984 Dec;32(6):392-4. doi: 10.1055/s-2007-1023433.
In the Fontan operation and numerous of its modifications for hemodynamic correction of tricuspid atresia, extraanatomical conduits placed anteriorly are inevitably at particular risk of obstruction. This report describes the construction of a direct retroaortic left atriopulmonary anastomosis supplemented by an intraatrial rerouting of the systemic venous return. Hemodynamic considerations and growth potential may render this method suitable for primary intracardiac repair at all ages.
在用于三尖瓣闭锁血流动力学矫正的Fontan手术及其众多改良手术中，置于前方的解剖外管道不可避免地面临着特定的梗阻风险。本报告描述了一种直接的主动脉后左心房 - 肺动脉吻合术的构建，并辅以体静脉回流的心房内改道。血流动力学因素和生长潜力可能使该方法适用于各年龄段的原发性心脏内修复。
