Flamand E L, Corona E, De Los Rios M, Molina J B
Bol Med Hosp Infant Mex. 1977 Jan-Feb;34(1):95-104.
"Open" pulmonary valvotomy with vena cava occlusión and normothermia was first performed by Varco in 1950, but the procedure was abandoned with the arrival of extracorporeal circulation. This paper compares two groups of patients who were operated with Varco's procedure and extracorporeal circulation. Similar data of both procedures are analyzed as well as their advantages and disadvantages. It is concluded that Varco's proceduce is useful in well selected patients with no associated anomalies in which the possibility of complications of extracorporeal circulation is avoided. Also, equipment, personnel, surgical time and stay in the Intensive Care Unit and in the hospital are reduced, saving cost as much as 50%.
1950年，瓦尔科首次进行了伴有腔静脉闭塞和常温的“开放”肺动脉瓣切开术，但随着体外循环的出现，该手术被放弃。本文比较了两组接受瓦尔科手术和体外循环手术的患者。分析了两种手术的相似数据及其优缺点。得出的结论是，瓦尔科手术对精心挑选的、无相关异常且能避免体外循环并发症的患者有用。此外，设备、人员、手术时间以及在重症监护病房和医院的住院时间都减少了，成本节省高达50%。
