摘要
目的 总结合并异常冠状动脉的法洛四联症和右心室双出口一期根治术的经验 ,探讨有关外科技术的改进。方法 1995年 6月至 2 0 0 2年 6月完成该类一期根治术 12例 ,其中 2例采取了肺动脉移位、3例在游离的左前降支下加宽右室流出道、5例改变右室切口并在冠状动脉下缝合、2例经肺动脉和右房疏通流出道。结果 无手术死亡。随访 3个月～ 6年 ,无晚期死亡和并发症发生。结论 合并异常冠状动脉的法洛四联症和右心室双出口的一期根治手术是可行的 ,且效果良好 ,但必须采用适当的外科技术以保护异常的冠状动脉。
Objective: To review the results with an approach of primary repair for tetralogy of Fallot (TOF) and double-outlet right ventricle (DORV) with anomalous coronary arteries. Methods: From June 1995 to June 2002, 12 patients with TOF and DORV associated with anomalous coronary arteries crossing an obstructed right ventricle outflow tract underwent primary surgical repair. To avoid injury of the anomalous coronary arteries, some modified surgical techniques were used. Main pulmonary artery translocation in 2 patients, repair under a mobilized left anterior descending coronary artery in 3, displaced ventriculotomy with subcoronary suture lines in 5, and the right ventricle outflow tract was repaired via the arteriotomy and/or pulmonary incision in 2. Results: There were no early or late death, and no myocardial infarction. Follow-up ranged from 3 months to 6 years, there were no residual leakage and obstruction of right ventricle outflow tract. Conclusion: Primary repair of TOF with anomalous coronary arteries can be done with excellent results. A proper surgical technique should be used during operation.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2004年第1期30-32,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
合并症
冠状动脉异常
法洛四联症
右心室双出口
一期手术
根治术
Tetralogy of Fallot Double outlet right ventricle Coronary vessel anomalies Cardiac surgical procedures
