左右侧主动脉-戈尔特斯中心分流术。
Side-to-side aorto-Gore-Tex central shunt.
作者信息
Gates R N, Laks H, Johnson K
机构信息
Department of Surgery, University of California, Los Angeles Medical Center, 90095-1741, USA.
出版信息
Ann Thorac Surg. 1998 Feb;65(2):515-6. doi: 10.1016/s0003-4975(97)01126-0.
BACKGROUND
This report details our experience in 13 patients with a technical modification of the standard central shunt.
METHODS
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.
RESULTS
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.
CONCLUSIONS
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.
背景
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。
方法
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。
结果
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。
结论
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。
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