Lin S F, Chiu I S, Hsu R B
Department of Surgery, National Taiwan University Hospital, Taipei.
J Card Surg. 1996 Sep-Oct;11(5):368-70. doi: 10.1111/j.1540-8191.1996.tb00065.x.
In biventricular repair of pulmonary outflow tract obstruction with intact ventricular septum, the right ventricle is loaded with total pulmonary blood flow acutely as the right-to-left shunt is abolished by closure of the atrial septal defect (ASD).
We designed a one-way interatrial communication by creation of an atrial septal flap to reduce the excessive volume load of the right ventricle.
This procedure was successfully performed in a 3-year-old girl undergoing definitive biventricular repair for critical pulmonary stenosis associated with tricuspid stenosis and a small right ventricle.
We believe that creation of a one-way interatrial communication might be a good alternative to adjustable ASD and/or bidirectional Glenn shunt in biventricular repair of critical pulmonary stenosis or pulmonary atresia with intact ventricular septum.
在室间隔完整的肺动脉流出道梗阻的双心室修复中，随着房间隔缺损（ASD）的闭合消除了右向左分流，右心室急性承受全部肺血流负荷。
我们通过制作房间隔瓣来设计一种单向房内交通，以减轻右心室的过度容量负荷。
该手术在一名3岁女孩中成功实施，该女孩因严重肺动脉狭窄合并三尖瓣狭窄及小右心室而接受确定性双心室修复。
我们认为，在室间隔完整的严重肺动脉狭窄或肺动脉闭锁的双心室修复中，建立单向房内交通可能是可调节ASD和/或双向格林分流的良好替代方法。
