Iemura J, Oku H, Ueda M, Saga T, Shirotani H
Department of Cardiac Surgery, Kinki University, School of Medicine, Osaka, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Jun;43(6):847-51.
We reported two successful cases of extracardiac total right heart bypass using 20 mm EPTFE conduit (modified total cavopulmonary connection). They were seven-year-old boy and nine-year-old girl. Both patients had complex heart disease including cyanosis, atrioventricular discordance. We selected this technique instead of modified Fontan or conventional total cavopulmonary connection because of safeness and easiness of surgery and the hemodynamic benefits. They don't have any restriction for their life postoperatively. We propose this technique as an alternative surgical option in candidates for a Fontan procedure or conventional total cavopulmonary connection.
我们报告了两例使用20毫米膨体聚四氟乙烯（EPTFE）导管进行心外全右心旁路移植术（改良全腔肺连接术）的成功病例。患者分别是一名7岁男孩和一名9岁女孩。两名患者均患有复杂的心脏病，包括紫绀、房室不一致。由于手术的安全性、简易性以及血流动力学益处，我们选择了这项技术而非改良Fontan手术或传统全腔肺连接术。术后他们的生活没有任何限制。我们建议将这项技术作为Fontan手术或传统全腔肺连接术候选患者的替代手术选择。
