Hamid I A, Rao S G, Bharati S, Cherian K M
Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras, India.
J Card Surg. 1994 Mar;9(2):115-9. doi: 10.1111/j.1540-8191.1994.tb00835.x.
A unifocalization procedure in a 9-year-old girl with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (MAPCAs) was performed using an antibiotic sterilized pulmonary homograft. A tailored pulmonary homograft was used as an interposition graft to anastomose the pulmonary artery to the larger MAPCA after a side-to-side anastomosis had been done between the two MAPCAs. The pulmonary homograft was connected to the right subclavin artery with a 6-mm Gore-Tex shunt. Postoperative oxygen saturation (SaO2) levels were satisfactory and a postoperative angiogram showed good unifocalization of the pulmonary vasculature.
对一名患有肺动脉闭锁、室间隔缺损和主-肺动脉侧支动脉（MAPCAs）的9岁女孩进行了单心室化手术，使用抗生素消毒的同种异体肺动脉移植物。在两根MAPCAs之间进行端侧吻合后，使用定制的同种异体肺动脉移植物作为插入移植物，将肺动脉与较大的MAPCA进行吻合。同种异体肺动脉移植物通过一根6毫米的戈尔特斯（Gore-Tex）分流管与右锁骨下动脉相连。术后氧饱和度（SaO2）水平令人满意，术后血管造影显示肺血管系统单心室化良好。
