摘要
观察６例深低温冻贮活性同种主动脉（ＣＶＡＨ）移植治疗布加综合征的临床效果。包括ＣＶＡＨ肝前径路腔房转流术１例，部分体外循环下施行根治术并以ＣＶＡＨ补片重建狭窄段下腔静脉（ＩＶＣ）５例。结果：全组无手术及远期死亡。例２术后３个月因外压致ＩＶＣ阻塞，再次手术扩张并置内支架２枚，术中证实原补片处内膜光滑无血栓形成，再次术后９个月造影证实ＩＶＣ通畅。另外５例术后恢复顺利。随访４～５６个月，全组临床征象消失完全，多普勒超声或造影均显示重建ＩＶＣ通畅。结论：ＣＶＡＨ治疗布加综合征近、中期效果优良。
Aim:To evaluate the clinical effects of cryopreserved viable aortic homograft(CVAH) transplantation in the treatment of Budd Chiari's syndrome.Clinical material and method:From April 1992 to August 1996,6 patients with Budd Chiari syndrome underwent surgical treatment.There were 5 men and 1 woman with a mean age of 39.5 years.A CVAH conduit,30cm in length and 1.6 cm in diameter,was placed between the inferior vena cava(IVC)and the right atrium.In one case,grafting was done through the anterior route.The other 5,underwent radical procedures under partial cardiopulmonary bypass(femorofemoral bypass annulation).The involved IVC was incised longitudinally,webs and occlusive tissue and thrombus were resected.The IVCs were reconstructed with CVAH patching.Result:There were no operative death.In patient two,recurrence was caused by external compression 3 months after operation.At reoperation no thrombus was found,and patency was re established by finger and baloon dialatation two stents were placed in the IVC after the dialatation.The patency of IVC was confirmed 9 months later by angiography.The other 5 cases were followed up for 4 to 56 months,the patency of IVC or the conduit were confirmed by means of Doppler echocardiography and angiography.The clinical manifestation in all patients vanished.All of them resume to farm work.The short to medium term outcomes were excellent.Conclusion:The results of this study suggest that cryopreserved viable aortic homograft is a satisfactory prosthesis in reconstruction of IVC in surgical treatment of Budd Chiari's syndrome.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1998年第5期275-277,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
基金
山东省科委基金
关键词
布-加综合征
下腔静脉重建
活性同种血管
Cryopreservation aortic homograft Reconstruction of inferior vena cava Buddx Chiari's syndrome
