Agrawal S K, Khanna S K, Tampe D
Department of CTVS, Batra Hospital and Medical Research Centre, New Delhi, India.
Eur J Cardiothorac Surg. 1997 Mar;11(3):455-7. doi: 10.1016/s1010-7940(96)01082-2.
To assess early and later results after surgery for sinus venous atrial septal defects (ASDs).
Forty-four patients of sinus venosus ASDs with anomalous drainage of the right superior pulmonary vein into the superior vena cava, were operated upon between January 1985 and June 1995. Defects were approached by an incision starting from the tip of the right atrial appendage then extending upward along the atrial crest to the medial wall of the superior vena cava. Atrial defects were closed by an autologous pericardial patch. Another pericardial patch was used to enlarge the superior vena cava-right atrial junction to avoid the narrowing of the superior vena cava.
There was no operative mortality. The total duration of follow-up was 4 +/- 0.7 years. Follow-up of the echocardiographic study at 6 months and 2 years after surgery revealed a normal study. Two patients developed sinus node dysfunction of short duration in the immediate postoperative period. Follow-up of the electrocardiographic study at 6 months and 2 years revealed sinus node dysfunction in one and two patients, respectively.
评估静脉窦型房间隔缺损（ASD）手术后的早期和远期结果。
1985年1月至1995年6月期间，对44例静脉窦型ASD合并右上肺静脉异常引流至上腔静脉的患者进行了手术。通过从右心耳尖端开始的切口进入缺损，然后沿心房嵴向上延伸至上腔静脉内壁。房间隔缺损用自体心包补片封闭。另用心包补片扩大上腔静脉-右心房交界处，以避免上腔静脉狭窄。
无手术死亡病例。总随访时间为4±0.7年。术后6个月和2年的超声心动图随访显示检查结果正常。2例患者在术后即刻出现短期窦房结功能障碍。术后6个月和2年的心电图随访分别显示1例和2例患者存在窦房结功能障碍。
