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三尖瓣闭锁:血流动力学及外科手术考量(作者译)

[Tricuspid atresia: hemodynamic and surgical considerations (author's transl)].

作者信息

Marino A, De Tommasi S M, Velitti F, Alfieri O, Invernizzi G, Parenzan L

出版信息

G Ital Cardiol. 1977;7(1):67-76.

PMID:852648
Abstract

Recently some patients with tricuspid atresia underwent physiological correction, as indicated by Fontan, as an alternative to classical procedures. The aims of the hemodynamic and contrastographic study are illustrated and exemplified, in view of the type of surgery. 49 patients underwent palliative operations: 47 shunts and 2 banding. The most frequent procedure was the Waterston shunt. The total mortality was 10.2%, but no deaths occurred after the third month of life. Finally, the future and the limits of "total" correction are discussed.

摘要

最近,一些三尖瓣闭锁患者接受了如Fontan所指出的生理矫正,作为经典手术的替代方案。鉴于手术类型,阐述并举例说明了血流动力学和造影研究的目的。49例患者接受了姑息性手术:47例分流术和2例束带术。最常用的手术是Waterston分流术。总死亡率为10.2%,但生命第三个月后无死亡病例。最后,讨论了“完全”矫正的前景和局限性。

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