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[应用跨环补片重建法洛四联症患儿右心室流出道52例]

[Reconstruction of right ventricular outflow tract using transannular patch in 52 children with tetralogy of Fallot].

作者信息

Zhang D, Zhang D, Zhang R

机构信息

Department of Thoracic Cardiovascular Surgery, Wuhan General Hospital of Guangzhou Military Area.

出版信息

Zhonghua Wai Ke Za Zhi. 1996 Apr;34(4):244-6.

PMID:9387693
Abstract

52 children with tetralogy of Fallot received reconstruction of right ventricular outflow tract (RVOT) by using transannular patch. The indications for using transannular patch to reconstruct RVOT, patch materials, and the standard of enlargement pulmonary annulus were studied. The indications were held correctly for reconstruction of RVOT with transannular patch. The autologous pericardium was the most acceptable material for patch. All patients showed no obstruction of RVOT during early and late postoperative follow-up, althought most of them had certain degree of pulmonary regurgitation (PR) in first postoperative year, whicli was gradually attenuated as their life time long-drawn, with better exertion tolerance.

摘要

52例法洛四联症患儿接受了经环补片右心室流出道(RVOT)重建术。对经环补片重建RVOT的适应证、补片材料及肺动脉环扩大标准进行了研究。经环补片重建RVOT的适应证掌握正确。自体心包是最可接受的补片材料。所有患者术后早期及晚期随访均未出现RVOT梗阻,尽管大多数患者术后第一年有一定程度的肺动脉反流(PR),但随着时间延长逐渐减轻,运动耐量较好。

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