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室间隔缺损合并肺动脉发育不良型肺动脉闭锁的心脏直视姑息手术

Open-heart palliative surgery for pulmonary atresia with ventricular septal defect and hypoplastic pulmonary arteries.

作者信息

Crupi G, Locatelli G, Villani M, Tiraboschi R, Parenzan L

出版信息

Thorax. 1978 Oct;33(5):625-8. doi: 10.1136/thx.33.5.625.

DOI:10.1136/thx.33.5.625
PMID:83013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC470947/
Abstract

The surgical management of pulmonary atresia with ventricular septal defect (VSD) and hypoplastic pulmonary arteries poses difficult problems. Adequate palliation was achieved in two such patients by restoring continuity between the right ventricle and the pulmonary arteries by means of a woven Dacron patch. The VSD was left unrepaired. Angiography performed one month after operation showed the reconstructed pulmonary outflow tract to be widely patent and the pulmonary arteries to be enlarged. This approach may allow subsequent total correction by closure of the VSD in these hopeless patients.

摘要

室间隔缺损（VSD）合并肺动脉发育不全的肺动脉闭锁的外科治疗存在难题。通过使用编织涤纶补片恢复右心室与肺动脉之间的连续性，两名此类患者实现了充分的姑息治疗。室间隔缺损未予修复。术后一个月进行的血管造影显示，重建的肺流出道广泛通畅，肺动脉增粗。这种方法可能使这些病情严重的患者后续通过闭合室间隔缺损进行完全矫正。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/e8bd7b510322/thorax00161-0083-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/6a517cdac352/thorax00161-0081-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/0c3d069bad6a/thorax00161-0082-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/2b1907c890cd/thorax00161-0082-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/e8bd7b510322/thorax00161-0083-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/6a517cdac352/thorax00161-0081-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/0c3d069bad6a/thorax00161-0082-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/2b1907c890cd/thorax00161-0082-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a38/470947/e8bd7b510322/thorax00161-0083-a.jpg

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Open-heart palliative surgery for pulmonary atresia with ventricular septal defect and hypoplastic pulmonary arteries.室间隔缺损合并肺动脉发育不良型肺动脉闭锁的心脏直视姑息手术
Thorax. 1978 Oct;33(5):625-8. doi: 10.1136/thx.33.5.625.
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引用本文的文献

1
Hypoplasia of the intrapulmonary arteries in children with right ventricular outflow tract obstruction, ventricular septal defect, and major aortopulmonary collateral arteries.
Pediatr Cardiol. 1985;6(3):137-43. doi: 10.1007/BF02336552.

本文引用的文献

1
Surgical management of large bronchial collateral arteries with pulmonary stenosis or atresia.伴有肺动脉狭窄或闭锁的大支气管侧支动脉的外科治疗。
Circulation. 1975 Jul;52(1):109-18. doi: 10.1161/01.cir.52.1.109.
2
Pulmonary artery conduits in infants younger than six months of age.
J Thorac Cardiovasc Surg. 1976 Sep;72(3):351-6.
3
Surgical management of pulmonary stenosis in tetralogy of Fallot.法洛四联症肺动脉狭窄的外科治疗
J Thorac Cardiovasc Surg. 1977 Sep;74(3):382-95.
4
Experience with valved conduits for repair of congenital cardiac lesions.用于先天性心脏病变修复的带瓣管道的经验。
Ann Thorac Surg. 1977 Sep;24(3):223-32. doi: 10.1016/s0003-4975(10)63747-2.
5
Tetralogy of Fallot with acquired pulmonary atresia and hypoplasia of pulmonary arteries. Report of surgical management in infancy.法洛四联症合并获得性肺动脉闭锁及肺动脉发育不全。婴儿期手术治疗报告。
J Thorac Cardiovasc Surg. 1976 Sep;72(3):454-7.
6
Staged surgical management of pulmonary atresia with diminutive pulmonary arteries.
J Thorac Cardiovasc Surg. 1977 Mar;73(3):436-42.