Freeman J E, DeLeon S Y, Lai S, Fisher E A, Ow E P, Pifarré R
Department of Cardiovascular-Thoracic Surgery, Loyola University Medical Center, Maywood, Illinois 60153.
Ann Thorac Surg. 1993 Dec;56(6):1393-5. doi: 10.1016/0003-4975(93)90691-a.
A 20-month-old girl with pulmonary atresia, intact ventricular septum, and ventriculocoronary connections underwent successful interposition of a right ventricle-to-aorta conduit and Fontan operation. The patient initially had a modified Blalock-Taussig shunt at birth and subsequently a bidirectional Glenn shunt at 8 months of age. After Fontan and right ventricle-to-aorta conduit placement, the suprasystemic right ventricular pressure dropped to systemic levels without causing myocardial injury. Additionally, the right ventricular cavity enlarged. We believe that the use of a right ventricle-to-aorta conduit should provide a valuable alternative and improve the outlook of certain patients with pulmonary atresia, intact ventricular septum, and ventriculocoronary connections.
一名患有肺动脉闭锁、室间隔完整和心室-冠状动脉连接的20个月大女孩成功接受了右心室至主动脉管道的置入及Fontan手术。该患者出生时最初接受了改良的Blalock-Taussig分流术，随后在8个月大时接受了双向Glenn分流术。在Fontan手术和右心室至主动脉管道置入后，体循环以上的右心室压力降至全身水平，且未造成心肌损伤。此外，右心室腔扩大。我们认为，使用右心室至主动脉管道应能提供一种有价值的替代方案，并改善某些患有肺动脉闭锁、室间隔完整和心室-冠状动脉连接患者的预后。
