Gates R N, Laks H, Johnson K
Department of Surgery, University of California, Los Angeles Medical Center, 90095-1741, USA.
Ann Thorac Surg. 1998 Feb;65(2):515-6. doi: 10.1016/s0003-4975(97)01126-0.
This report details our experience in 13 patients with a technical modification of the standard central shunt.
The study was performed using a retrospective chart review approach. In our operation, the aorto-Gore-Tex (W.L. Gore & Assoc, Flagstaff, AZ) anastomosis is created in a side-to-side fashion with the free end of the Gore-Tex shunt being oversewn.
All patients had echocardiographic evidence of shunt patency in the immediate postoperative period, and there have been no cases of late shunt occlusion at a mean follow-up period of 10 months.
We believe this approach will yield patency rates equivalent to or better than those of the standard central shunt. The technique has the advantage of creating a short, straight-lying shunt that is less likely to kink or be injured on repeated sternotomy and in which flow may be more reliable.
本报告详细介绍了我们对13例患者采用标准中心分流术技术改良的经验。
本研究采用回顾性病历审查方法。在我们的手术中，将主动脉与戈尔特斯（W.L. Gore & Assoc，弗拉格斯塔夫，亚利桑那州）以端侧方式吻合，戈尔特斯分流管的自由端进行缝扎。
所有患者在术后即刻经超声心动图证实分流管通畅，在平均10个月的随访期内无晚期分流管闭塞病例。
我们认为这种方法产生的通畅率将等同于或优于标准中心分流术。该技术具有形成短而直的分流管的优势，这种分流管在再次开胸手术时不太可能发生扭结或损伤，并且其血流可能更可靠。
