一种用于治疗左心发育不全综合征和主动脉闭锁的新手术的早期结果。
Early results with a new procedure for hypoplastic left heart syndrome and aortic atresia.
作者信息
Pridjian A K, Culpepper W C, McGettigan M, Gourri T, Ochsner J L
机构信息
Division of Cardiovascular Surgery, Ochsner Clinic, New Orleans, LA 70121, USA.
出版信息
J La State Med Soc. 1995 Jul;147(7):308-12.
One patient with hypoplastic left heart syndrome and another with aortic atresia and a complex form of functional single ventricle, who were candidates for the Norwood operation, received a new palliative procedure. This involved anastomosis of the dome of the pulmonary artery to the undersurface of the transverse arch of the aorta with placement of a fenestrated patch in the main pulmonary artery to divide the systemic and pulmonary circulations. Both patients have survived this initial procedure and will receive second stage palliation at 6 months of age. Shorter circulatory arrest and cardiopulmonary bypass times are required, and this procedure may be a safer alternative than the Norwood for neonates with hypoplastic left heart syndrome and aortic atresia.
一名患有左心发育不全综合征的患者以及另一名患有主动脉闭锁和复杂形式功能性单心室的患者，他们原本是诺伍德手术的候选者，接受了一种新的姑息治疗方法。该方法包括将肺动脉干的顶部与主动脉横弓的下表面进行吻合，并在主肺动脉中放置一个带孔补片以分隔体循环和肺循环。两名患者均在这一初始手术中存活下来，并将在6个月大时接受二期姑息治疗。该手术所需的循环阻断和体外循环时间更短，对于患有左心发育不全综合征和主动脉闭锁的新生儿来说，此方法可能是比诺伍德手术更安全的选择。
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