Mitsui K, Suma K, Shiroma K, Kaneko H, Miyawaki F, Imanishi K
Department of Cardiovascular Surgery, Tokyo Women's Medical College Daini Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Jul;41(7):1214-8.
A 11-year-old girl diagnosed as having pulmonary atresia with uncommon systemic-pulmonary artery underwent on March 6, 1991. The collateral artery was derived from the left subclavian artery and divided from the descending aorta. Right ventricular outflow reconstruction was performed using a non-valved conduit of the autologous pericardium, and anastomosis of the conduit and pulmonary artery was successfully performed prior to extracorporeal circulation, because of the conduit's flexibility. Thus, we could reduce extracorporeal circulation time. Postoperative course was excellent, and patient is free from the morbidity associated with prosthetic valve. It is considered that a non-valved conduit of the autologous pericardium may be effective, but will require a long term follow-up.
一名11岁女孩被诊断为肺动脉闭锁合并罕见的体肺侧支动脉，于1991年3月6日接受手术。侧支动脉起源于左锁骨下动脉，从降主动脉分出。采用自体心包无瓣管道进行右心室流出道重建，由于管道具有柔韧性，在体外循环前成功完成了管道与肺动脉的吻合。因此，我们能够缩短体外循环时间。术后过程顺利，患者未出现与人工瓣膜相关的并发症。认为自体心包无瓣管道可能有效，但需要长期随访。
