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[聚四氟乙烯(戈尔特斯)在肺-体循环吻合术中的应用。附50例报告]

[Use of PTFE (Gore-Tex) in pulmonary systemic anastomoses. Apropos of 50 cases].

作者信息

Belhaj M, Binet J P, Langlois J, Planché C, Hvass U, Hafez A, Touchot-Kone A, Bruniaux J

出版信息

Arch Mal Coeur Vaiss. 1983 May;76(5):584-90.

PMID:6411032
Abstract

Between 1977 and 1981 palliative anastomosis procedures between the subclavian and pulmonary arteries using a PTFE (Gore-Tex) prosthesis for anatomical reasons (short subclavian artery or trajectory incompatible with a Blalock-Taussig anastomosis) were carried out in 50 patients from 1 day to 24 years of age with cyanotic congenital heart disease. Two groups of patients were identified: ten patients in which the PTFE prosthesis was used as an "extension" to the subclavian artery, and 40 patients in which the PTFE was interposed between the respected subclavian and pulmonary arteries. There were three deaths (6 p. 100) at 1,7 and 15 days after surgery (mean mortality 5,7 and 12,3 p. 100). There were no major complications in the survivors. Two prostheses became occluded, one of which was reanastomosed to the ascending aorta. The follow-up ranges from 6 months to 5,5 years. The angiographic investigations performed before complete repair demonstrated the patency and good function of these anastomoses.

摘要

1977年至1981年间,因解剖学原因(锁骨下动脉短或走行与布莱洛克 - 陶西格吻合术不兼容),对50例年龄从1天至24岁的发绀型先天性心脏病患者进行了使用聚四氟乙烯(戈尔特斯)人工血管的锁骨下动脉与肺动脉之间的姑息性吻合手术。确定了两组患者:10例患者中聚四氟乙烯人工血管用作锁骨下动脉的“延伸”,40例患者中聚四氟乙烯置于相应的锁骨下动脉和肺动脉之间。术后1天、7天和15天有3例死亡(6%)(平均死亡率5.7%和12.3%)。幸存者无重大并发症。两个人工血管闭塞,其中一个重新与升主动脉吻合。随访时间为6个月至5.5年。在完全修复前进行的血管造影检查显示这些吻合口通畅且功能良好。

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