Iwaya F, Tanji M, Ono T, Tsuda A, Hoshino S
Department of Cardiovascular Surgery, Fukushima Medical College, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 May;44(5):653-8.
It is important to find a suitable vascular prosthesis as an intracardiac conduit for a total cavopulmonary connection because of the need for long-term patency. A 7-year-old girl with a double outlet of right ventricle, hypoplastic left ventricle, pulmonary atresia and single atrium with azygos connection underwent a total cavopulmonary connection using a knitted dacron prosthesis impregnated with gelatin (GELSEAL) as an intracardiac conduit. Her postoperative course was uneventful. GELSEAL is soft, easy to hand and effective at preventing blood loss. The conduit is also expected to have long-term patency because of good healing with thin and uniform pseudointimal formation. However, long-term patency especially in the right side of the heart is still unknown. She should be followed with close anticoagulant therapy and careful observation.
由于需要长期通畅，找到合适的血管假体作为全腔静脉肺动脉连接的心内管道很重要。一名7岁女孩患有右心室双出口、左心室发育不全、肺动脉闭锁和奇静脉连接的单心房，使用浸渍明胶的针织涤纶假体（GELSEAL）作为心内管道进行了全腔静脉肺动脉连接。她的术后过程顺利。GELSEAL质地柔软，易于操作，且能有效防止失血。由于形成薄而均匀的假内膜愈合良好，该管道也有望长期通畅。然而，尤其是在心脏右侧的长期通畅情况仍不明确。应对她进行密切的抗凝治疗和仔细观察。
