摘要
目的 总结分析ROSS手术治疗儿童先天性主动脉瓣膜病变的疗效和体会。方法 1996年3月至2003年9月ROSS手术治疗先天性主动脉瓣膜病变8例。其中男性7例,女性1例,单纯主动脉瓣狭窄2例,主动脉狭窄伴关闭不全5例,1例伴左室流出道梗阻和主动脉瓣上狭窄。所有患儿均采用自体带瓣肺动脉行主动脉根部替换(2例同期行Konno术),并用同种带瓣大血管重建右室流出道(同种肺动脉7例,主动脉1例)。结果 1例因并发术后低心排多器官功能衰竭死亡,生存7例术后均无残余解剖梗阻,中远期随访效果满意。结论 ROSS手术是目前治疗儿童先天性主动脉瓣膜病变较为理想的术式。
Objective The report was to review our experience with the ROSS procedure in young patients with congenital aortic valve disease. Methods From March 1996 to September 2003, 8 patients, mean aged (9.40± 3.66) years, underwent ROSS procedure for congenital aortic valve disease. Among them, the diagnosis included simple aortic stenosis in 2 , aortic stenosis and aortic valve insufficiency in 5 , one associated with left ventricular outflow tract obstruction and aortic supervalvar stenosis. All patients underwent ROSS procedure under cardiopulmonary bypass. 2 patients underwent Konno procedure for smaller aortic annulus at same time. The pulmonary or aortic ho-mograft was used to reconstruct the pulmonary outflow. Results There was one operative death due to low cardiac output and multiple organ failure, other patients were discharged uneventfully. Follow up from 2 to 99 months, mean (40±36. 5) months, the cardiac function was in NYHA class Ⅰ to Ⅱ for all patients. The result of echocardiography showed that the function of the aortic valve and the pulmonary homograft valve was well. The outcomes were satisfactory. Conclusion ROSS operation that is used to treat kinds of congenital aortic valve disease in children and young patients is a relative ideal procedure at present.
出处
《上海第二医科大学学报》
CSCD
2004年第10期829-832,共4页
Acta Universitatis Medicinalis Secondae Shanghai
基金
上海市科委基金(0-24119020)资助项目
