Stewart S, Harris P, Manning J
Ann Thorac Surg. 1978 May;25(5):431-6. doi: 10.1016/s0003-4975(10)63579-5.
The Waterston anastomosis was constructed in 21 infants and neonates between 1973 and 1977. Sixteen neonates were 1 week old or less and 8 were less than 24 hours old. There were 2 operative deaths, giving a hospital survival of 90%. There were 3 late deaths. All surviving infants received satisfactory palliation except 1 who required a Potts anastomosis one year later. During the same time interval, 9 other patients who had had a Waterston anastomosis underwent complete intracardiac repair. Seven of them had significant angulation of the right pulmonary artery necessitating patch reconstruction. All patients survived operation, and follow-up pulmonary angiograms demonstrated only a slight persistent narrowing of the right pulmonary artery in 2 patients. We conclude that the Waterston anastomosis can be constructed with a low operative mortality even in the severely cyanotic neonate and that it can be taken down at the time of complete repair with minimal morbidity and no mortality even if it has significantly angulated the right pulmonary artery.
1973年至1977年间，对21例婴儿和新生儿实施了沃特斯顿吻合术。16例新生儿年龄为1周或更小，8例小于24小时。有2例手术死亡，住院存活率为90%。有3例晚期死亡。除1例1年后需要行波茨吻合术外，所有存活婴儿均获得了满意的姑息治疗。在同一时间段内，另外9例接受过沃特斯顿吻合术的患者接受了完全心内修复。其中7例右肺动脉有明显成角，需要补片重建。所有患者手术存活，随访肺动脉造影显示仅2例患者右肺动脉有轻微持续性狭窄。我们得出结论，即使是严重发绀的新生儿，实施沃特斯顿吻合术的手术死亡率也较低，并且在完全修复时可以拆除该吻合术，即使它使右肺动脉明显成角，其发病率也极低且无死亡病例。
