Bukharin V A, Podzolkin V P, Bondarev Iu I
Kardiologiia. 1977 Jan;17(1):72-80.
On the basis of 24 cases reported in the literature and 2 personal observations of the authors the indications for surgical correction of a single ventricle of the heart are discussed. Two different surgical techniques are described: 1) haemodynamic correction of the defect comprising a closure of the venous atrioventricular valve, oversewing the proximal pulmonary artery, and anastomosing the right atrium and the distal pulmonary artery; 2) radical correction--creation of the ventricular septum. The variants of the disease permitting a radical correction are indicated, the results of surgery, the causes of complications and mortality are discussed.
基于文献报道的24例病例以及作者本人的2例观察病例,对单心室心脏外科矫治的适应证进行了讨论。描述了两种不同的外科技术:1)对缺损进行血流动力学矫治,包括闭合静脉房室瓣、缝扎近端肺动脉,并将右心房与远端肺动脉吻合;2)根治性矫治——创建室间隔。指出了允许进行根治性矫治的疾病变体,讨论了手术结果、并发症原因和死亡率。