Ichihara T, Watanabe T, Yasura K, Tanaka M, Abe T, Takeuchi E
Department of Cardio-Thoracic Surgery, Nagoya University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Jan;41(1):135-9.
Partial anomalous pulmonary venous connection (PAPVC) is often associated with other congenital heart diseases. Atrial septal defect, particularly, appears in about ninety percent of patients with PAPVC. Successful repairs were made in two patients of total left PAPVC with intact atrial septum. In one patient, left thoracotomy was made, and the vertical vein was anastomosed to the left atrial appendage. Cardiopulmonary bypass was not used in this case. In the other patient, median sternotomy was made, and the vertical vein was anastomosed to the posterior wall of the left atrium under cardiopulmonary bypass. Although postoperative prognosis are excellent sofar in both cases. We consider that the latter operative procedures are preferable for PAPVC not associated with atrial septal defect. In the present paper, the detailed operative procedures and approaches for these two cases are reported, and the concerning literatures are discussed.
部分性肺静脉异位连接（PAPVC）常与其他先天性心脏病相关。特别是房间隔缺损，约90%的PAPVC患者会出现。两名完全性左肺静脉异位连接且房间隔完整的患者成功接受了修复手术。其中一名患者采用左胸切口，将垂直静脉与左心耳吻合。该病例未使用体外循环。另一名患者采用正中胸骨切开术，在体外循环下将垂直静脉与左心房后壁吻合。尽管目前这两个病例的术后预后都很好。我们认为，对于不伴有房间隔缺损的PAPVC，后一种手术方法更可取。本文报告了这两个病例的详细手术步骤和方法，并讨论了相关文献。
