摘要
目的 介绍心上法矫治心上型完全性肺静脉畸形引流 (TAPVR)。方法 1998年 6月至2 0 0 1年 8月 ,采用心上法矫治心上型TAPVR 11例 ,其中男 7例 ,女 4例 ;年龄 5月龄～ 15岁 ,平均 (5 33±4 98)岁 ;体重 6 4～ 33 0kg ,平均 (15 0 9± 8 78)kg。在全麻、低温体外循环下行矫治术 ,正中切口纵劈胸骨入胸 ,经横窦 ,上腔静脉与升主动脉之间显露共同肺静脉干及左心房 ,将其侧侧吻合。结果 术后早期 (30d)无死亡 ,随访 4～ 36个月 ,无远期死亡及心律失常发生。结论 心上法矫治心上型TAPVR可获得良好的显露和足够大的吻合口 ,手术对心脏的损伤小 ,可降低术后心律失常的发生率。
Objective: To describe the superior approach for correction of supracardiac (type I) total anomalous pulmonary venous return. Methods: From June 1998 to August 2001, total 11 of the supracardiac type of TAPVC were corrected by the superior approach. There were 7 males and 4 females with mean age of (5。33±4。98) years(5 months to 15 years) and mean weight of (15。09± 8。78)kg (6。4 to 33 kg). The total correction was performed under CPB. The top of the left atrium and the common pulmonary venous trunk were exposed through the transverse sinus and a direct anastomosis between those was done. Results: There was no operative mortality. No late death and arrhythmia occurred during follow-up period (4 months to 3 years). Conclusion: This superior approach for correction supracardiac type of TAPVC can afford a better exposure and a bigger orifice between the left atrium and the common pulmonary venous trunk and less injury. Therefore, the postoperative morbidity of arrhythmia is low.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2003年第6期321-323,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
