Casarotto D, Ramondo A, Caldi R, Motta A, Zanini M, Carletta C
G Ital Cardiol. 1982;12(2):150-2.
Primary correction of type 1 b tricuspid atresia with a right atrial-right ventricular anastomosis has been performed on a 23-month-old baby with excellent clinical and hemodynamic results. This type of operation, which has been described for the first time by Björk et al. in 3 patients aged 8, 9 and 12 years respectively, does not require any conduit or prosthesis since it employs the right atrial appendage and a patch of autologous pericardium. The authors review the surgical anatomy of tricuspid atresia, the various operative techniques so far employed for its correction, as well as other congenital heart diseases which could benefit from this surgical procedure. Moreover they underline the advantage of the latter technique which avoids the employment of any foreign material, can be performed in early infancy, and can be considered definitive since it obviates the need for initial palliative procedures.
已对一名23个月大的婴儿进行了1b型三尖瓣闭锁的初次矫正术，采用右心房-右心室吻合术，临床和血流动力学结果良好。这种手术由比约克等人于首次描述，分别应用于3例年龄为8岁、9岁和12岁的患者，由于使用了右心耳和一片自体心包，因此不需要任何导管或假体。作者回顾了三尖瓣闭锁的手术解剖结构、迄今为止用于矫正的各种手术技术，以及可能从该手术中受益的其他先天性心脏病。此外，他们强调了后一种技术的优点，即避免使用任何外来材料，可在婴儿早期进行，并且可被视为确定性手术，因为它无需进行初始姑息性手术。
