Waldman J D, Lamberti J J, Mathewson J W, George L
Pediatr Cardiol. 1984 Jul-Sep;5(3):221-3. doi: 10.1007/BF02427050.
A surgical approach is reported for a patient with pulmonary atresia, intact ventricular septum, and right ventricle to coronary artery communications through sinusoids. A shunt procedure was performed at two days of age; the right ventricular outflow tract was not opened. At subsequent catheterization, the tricuspid valve was temporarily closed with a balloon catheter and no change was seen in the ECG. At five months of age, the right ventricle was plicated and a patch was sewn over the tricuspid valve. One year after surgery, neither the right ventricular cavity nor the sinusoids could be demonstrated at angiocardiography; ECG changes of left ventricular ischemia have resolved, and the child is growing normally.
本文报道了一名患有肺动脉闭锁、室间隔完整且右心室通过窦状隙与冠状动脉相通的患者的手术治疗方法。患儿出生两天时进行了分流手术，右心室流出道未打开。在随后的导管检查中，用球囊导管暂时封闭三尖瓣，心电图未见变化。患儿五个月大时，对右心室进行了折叠处理，并在三尖瓣上缝合了一块补片。术后一年，心血管造影显示右心室腔和窦状隙均消失；左心室缺血的心电图改变已消失，患儿生长发育正常。
