Annecchino F P, Alfieri O, Parenzan L
G Ital Cardiol. 1976 Sep-Oct;6(5):890-7.
A palliative procedure in patients with pulmonary atresia with VSD should improve arterial oxygen saturation, allow growth and development, and promotes a uniform dilatation of the pulmonary arteries. Thirty-three severely symptomatic patients, ranging from 5 days to 24 mths of age and from 2,4 to 11 kg of weight underwent a variety of palliative operations, including the ascending aorta-right pulmonary artery shunt (intrapericardial: 15 cases; extrapericardial: 14 cases), the Blalock shunt (4 cases). In two cases, both with absence of the left pulmonary artery, a Waterston shunt was performed using cardiopulmonary by-pass. The operative mortality was 20%. In two patients an additional shunt procedure was deemed necessary due to persistent cyanosis. All the survivors improved in terms of arterial oxygen saturation, growth and development. There were no late deaths (mean follow-up: 23 months).
对于患有室间隔缺损的肺动脉闭锁患者，姑息性手术应提高动脉血氧饱和度，促进生长发育，并促使肺动脉均匀扩张。33例症状严重的患者，年龄从5天至24个月，体重从2.4千克至11千克，接受了各种姑息性手术，包括升主动脉 - 右肺动脉分流术（心包内：15例；心包外：14例）、布莱洛克分流术（4例）。2例均无左肺动脉的患者，在体外循环下进行了沃特斯顿分流术。手术死亡率为20%。2例患者因持续青紫而认为需要再次进行分流手术。所有存活患者的动脉血氧饱和度、生长发育情况均有所改善。无晚期死亡病例（平均随访：23个月）。
