摘要
采用右房及肺动脉径路施行法乐四联症根治术２０例，无手术死亡，１例术后６２天死于金葡菌败血症。室间隔缺损全部经三尖瓣口修复。单纯经右房疏通漏斗部狭窄６例，同时经肺动脉切开解除肺动脉瓣环以上狭窄１４例，其中１０例跨瓣环补片加宽右室流出道，４例为瓣上肺动脉干补片加宽。术终右室／左室收缩压比值平均０．４６±１０．１７，右室－肺动脉收缩压力阶差平均１．７±０．３１ｋＰａ。与同期２０例采用传统右室切开行根治术者比较，二组数值均无显著差异（Ｐ＞０．０５）。文中讨论了该手术的适应证选择，重点介绍了室缺修复和流出道疏通的经验。
Total correction of tetralogy of Fallot was performed by transatrial and transpulmonary approach in 20 cases.There were no operative death.One late death occurred 62 days after operation.Repair of the VSD and partial resection of the infundibular obstruction in 6 patients were carried out through the right atrial incision and the orifice of tricuspid valve suprapulmonary annular stenosis was relieved through pulmonary arteriotomy in 14.Ten patients required a transannular patch.The mean postrepair Pav/ev was 0.46 1 0.17kpa.The mean pressure gradient from rigbt ventricle to pulmonary artery was 1.7±0.13kpa.There was no significant statistical differences in either value as compaired with those obtained in 20 patients undergoing classical transventricular repair.The indication and details of surgical technique were discussed.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1995年第4期198-199,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
法乐氏四联症
外科手术
右心房
肺动脉
Tetralogy of Fallot
Right atrial approach
Transpulmonacy approach
