摘要
目的 研究同种异体带瓣大血管在复杂先天性心脏病 (先心病 )治疗中的应用价值。 方法 应用液氮保存的同种异体带瓣大血管治疗复杂先心病 4例 (男性 3例 ,女性 1例 ,年龄 5～ 2 4岁 )。在深低温低流量或深低温停循环下行根治术 (Rastelli术 )。 结果 术后 1例因低氧血症、低心排及肾衰家属放弃治疗 ;3例痊愈出院 ,随访表明同种异体带瓣大血管血液动力学良好 ,瓣膜功能正常。\结论 同种异体带瓣大血管移植是治疗复杂先心病重建肺循环的适应证 ,效果满意。
Objective\ To study the clinical value of homografts in treating complex congenital heart diseases.\ Methods\ 4 cases of liquid\|nitrogen\|preserved homografts were used in treating complex congenital heart diseases.\ There were 3 males and 1 female,5～24 years old. \ All the 4 cases were complex heart abnomalities,including transposition of the grear arteries,ventricular septal and pulmonic stental/pulmonary atresia.\ The corrective operations were performed under deep hypothermia and low flow or circulatory arrest.\ Results\ One cases died from severe hypoxemia、low output syndrome and renal failure.\ Three cases recovered satisfactorily.\ Follow\|up showed good hemodynamic property and normal valvular function.\ Conclusion\ In treating complex congenital heart diseases,the clinical facility was significant with homografts to reconstructed the right ventricular outflow tract and pulmonary artery.\;
出处
《福建医科大学学报》
2000年第1期27-29,共3页
Journal of Fujian Medical University
基金
福建省自然科学基金!C940 41
关键词
主动脉瓣移植
血管移植
心脏缺损
aortic valve,transplantation
vascular transplantation
homeotransplantation
cardiac defect,surgery
