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一侧肺动脉发育不全是否会妨碍对室间隔完整的肺动脉闭锁及右心室发育不全进行确定性修复?

Does hypoplasia of one pulmonary artery preclude a definitive repair in pulmonary atresia, intact ventricular septum, and hypoplastic right ventricle?

作者信息

Suzuki K, Tatsuno K, Mimori S, Murakami Y, Doi S, Takahashi Y, Kikuchi T, Mori K

机构信息

Department of Pediatric Cardiology, Sakakibara Heart Institute, Tokyo, Japan.

出版信息

Heart Vessels. 1995;10(3):158-62. doi: 10.1007/BF01744484.

DOI:10.1007/BF01744484
PMID:7673087
Abstract

Twins with pulmonary atresia, intact ventricular septum, and hypoplastic right ventricle associated with underdeveloped and discontinuous left pulmonary artery are described. Operations to connect the left pulmonary artery to the main pulmonary trunk, with subsequent biventricular repair assisted by bidirectional cavopulmonary anastomosis and atrial fenestration were performed. Follow-up catheterization proved spontaneous closure of the fenestration in one patient. Both patients have been in a satisfactory condition for 3 years since operation.

摘要

本文描述了患有肺动脉闭锁、室间隔完整、右心室发育不全且左肺动脉发育不良和中断的双胞胎病例。实施了将左肺动脉连接至主肺动脉的手术,随后在双向腔肺吻合术和心房开窗术辅助下进行双心室修复。随访导管检查证实其中一名患者的开窗自发闭合。自手术以来,两名患者均已保持3年的良好状态。

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Heart Vessels. 1995;10(3):158-62. doi: 10.1007/BF01744484.
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本文引用的文献

1
[Biventricular repair with a modified Glenn shunt for the hypoplastic right ventricle].[采用改良格林分流术治疗右心室发育不全的双心室修复术]
Nihon Kyobu Geka Gakkai Zasshi. 1993 Feb;41(2):193-8.
2
Invited letter concerning: The importance of pulsatile flow when systemic venous return is connected directly to the pulmonary arteries.邀请函主题:当体循环静脉回流直接与肺动脉相连时搏动性血流的重要性
J Thorac Cardiovasc Surg. 1993 Jan;105(1):173-6.
3
Biventricular repair of hypoplastic right ventricle assisted by pulsatile bidirectional cavopulmonary anastomosis.
搏动性双向腔肺吻合辅助下的右心室发育不全双心室修复术。
J Thorac Cardiovasc Surg. 1993 Jan;105(1):112-9.
4
Orthoterminally corrective operation in the presence of severe hypoplasia of a pulmonary artery.在肺动脉严重发育不全情况下的端端矫正手术。
J Thorac Cardiovasc Surg. 1980 Sep;80(3):424-6.
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Fontan operation in a case of single functional pulmonary artery.单支功能性肺动脉病例的Fontan手术
J Thorac Cardiovasc Surg. 1989 Jul;98(1):153-4.
6
Definitive repair in patients with pulmonary atresia and intact ventricular septum.肺动脉闭锁合并室间隔完整患者的根治性修复。
J Thorac Cardiovasc Surg. 1989 May;97(5):746-54.
7
Hemodynamic effects of bidirectional cavopulmonary shunt with pulsatile pulmonary flow.双向腔肺分流伴搏动性肺血流的血流动力学效应。
Circulation. 1991 Nov;84(5 Suppl):III219-25.
8
Pulmonary atresia with intact ventricular septum and hypoplastic right heart in sibs: a single gene disorder?同胞中室间隔完整的肺动脉闭锁合并右心发育不全:一种单基因疾病?
Am J Med Genet. 1992 Feb 1;42(3):304-6. doi: 10.1002/ajmg.1320420308.
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Partial biventricular repair of pulmonary atresia with intact ventricular septum. Use of an adjustable atrial septal defect.
Circulation. 1992 Nov;86(5 Suppl):II159-66.