镜面右位心患者的心肺移植
Heart-lung transplantation in situs inversus.
作者信息
Rábago G, Copeland J G, Rosapepe F, Tsen A C, Arzouman D A, Arabia F A, Sethi G K
机构信息
Department of Cardiovascular and Thoracic Surgery, University of Arizona, Tucson, USA.
出版信息
Ann Thorac Surg. 1996 Jul;62(1):296-8. doi: 10.1016/0003-4975(96)00203-2.
Reconstruction was accomplished in a 2 heart-lung recipients with situs inversus resulting in a left-sided systemic venous atrium. We created a large common atrium that was closed on the left side, leaving an atrial cuff on the inferior right quadrant. To this we anastomosed the donor right atrium, which had been opened laterally between the cavae. This resulted in some clockwise rotation of the ventricles and anterior positioning of the apex. The right pulmonary veins passed superior to the atrial anastomosis and posterior to the donor right atrium. Cardiopulmonary function was excellent in both cases.
对2例患有镜像右位心导致左侧体静脉心房的心肺移植受者进行了重建。我们构建了一个大的共同心房，其左侧封闭，在右下象限留下一个心房袖口。我们将在腔静脉之间横向切开的供体右心房吻合于此。这导致心室出现一些顺时针旋转，心尖向前移位。右肺静脉从心房吻合口上方经过，从供体右心房后方经过。两例患者的心肺功能均良好。
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