Sugimoto T, Fukasawa M, Orita H, Uchino H, Abiko M, Shimazaki Y
Second Department of Surgery, Yamagata University School of Medicine, Japan.
Kyobu Geka. 1997 Dec;50(13):1118-21.
A Rastelli procedure was successfully performed on a 6-year-old girl with an absence of the intrapericardial pulmonary artery and the left pulmonary artery (PA), following a right B-T shunt. The central PA was reconstructed with an 18 mm diameter xenopericardial roll behind the ascending aorta and the superior vena cava. After intracardial repair, the Rastelli operation was performed using an 18 mm diameter composite graft which consisted of a valved xenopericardial roll and a knitted Dacron graft. Since the size of the right PA was large enough to undergo this surgical procedure (the preoperative right PA index was 300 mm2/m2), the postoperative peak systolic pressure ratio of the right ventricle to the left ventricle declined from 1.0 to 0.64. Although the patient showed slight signs of right ventricular failure on the operative day, the postoperative course was uneventful.
在一名6岁女童身上成功实施了Rastelli手术，该女童心包内肺动脉和左肺动脉缺如，此前已进行了右B-T分流术。在升主动脉和上腔静脉后方，用直径18毫米的异种心包卷重建中央肺动脉。心内修复后，使用由带瓣异种心包卷和针织涤纶移植物组成的直径18毫米的复合移植物进行Rastelli手术。由于右肺动脉大小足以进行该手术（术前右肺动脉指数为300mm²/m²），术后右心室与左心室的收缩压峰值比从1.0降至0.64。尽管患者在手术当天出现了轻微的右心室衰竭迹象，但术后过程顺利。
