Shimizu T, Iyomasa Y, Abe T, Murase M, Tanaka M
J Cardiovasc Surg (Torino). 1982 Mar-Apr;23(2):172-4.
One hundred and seventy two cases of systemic to pulmonary arterial shunt operation have been carried out for congenital cyanotic heart diseases since 1953. Recently shunt operation has been carried out exclusively on patients with complex cardiac malformations and low pulmonary blood flow in the young age group. During the course of shunt operation on such patients the anastomotic site of pulmonary artery is completely excluded. Particularly in severely cyanotic patients, oxygen deficiency develops during anastomosis. We encountered one case who had severe hypotension during anastomosis followed by bradycardia and cardiac arrest. Since this episode in order to avoid the tragedy intraluminal shunt has been used during shunt operation for the five severely cyanotic patients. Intraluminal shunt has few perioperative complications and the technique is easier than that of extracorporeal circulation. Indications and the method of this technique are discussed in this paper.
自1953年以来，已对172例先天性紫绀型心脏病患者实施了体肺分流手术。近来，分流手术仅针对年轻年龄组中患有复杂心脏畸形且肺血流量低的患者进行。在此类患者的分流手术过程中，肺动脉吻合部位被完全排除在外。特别是在严重紫绀患者中，吻合过程中会出现缺氧情况。我们遇到过1例患者，在吻合过程中出现严重低血压，随后出现心动过缓和心脏骤停。自该事件发生后，为避免悲剧发生，已对5例严重紫绀患者在分流手术中采用了腔内分流术。腔内分流术围手术期并发症较少，且该技术比体外循环技术更简单。本文讨论了该技术的适应症和方法。
