Okada M, Oba O, Yoshida H, Shichijou K
Department of Cardiovascular Surgery, Hiroshima Municipal Hospital, Japan.
Kyobu Geka. 1994 Jul;47(8):612-5.
Secondary reconstructive operations were performed in six patients, who received Rastelli's procedure in their childhood. Six patients consisted of three tetralogy of Fallot with pulmonary atresia, two double outlet right ventricle, and one truncus arteriosus. The reoperations were undergone five to eleven years after the first operation. One patient received a replacement of a old valved conduit with a new larger one because of relative stenosis. The other five patients received reconstructive operations in which an old valved conduit was removed and a new conduit was constructed using the conduit bed as the posterior wall and a patch of xenograft pericardium. All operations performed successfully with no hospital or late cardiac death.
6例患者接受了二次重建手术，这些患者童年时接受过Rastelli手术。6例患者包括3例法洛四联症合并肺动脉闭锁、2例右心室双出口和1例动脉干畸形。再次手术在首次手术后5至11年进行。1例患者因相对狭窄接受了用新的更大的带瓣管道替换旧管道的手术。其他5例患者接受了重建手术，术中切除了旧的带瓣管道，并用管道床作为后壁和一片异种心包补片构建了新的管道。所有手术均成功完成，无院内死亡或晚期心脏死亡。
