摘要
目的 探讨部分型肺静脉畸形引流的外科治疗方法和原则。方法 对 99例部分型肺静脉畸形引流患者在体外循环下完成矫治术。右肺静脉部分引流至右心房和上腔静脉占 90 .9% ,采用扩大或重建房间隔时将异位肺静脉隔入左心房 ,术后无肺静脉回流受阻和上腔静脉梗阻。左上肺静脉引流至上腔静脉者直接与左心耳吻合。结果 本组无早期住院死亡者 ,严重并发症中仅 1例低心排。随访 85例 (85 .9% ) ,随访时间 2～ 4 7个月 ,平均2 3.7个月。 1例因合并完全性心内膜垫缺损 ,术后出现二尖瓣轻度关闭不全而有短期血红蛋白尿 ,其余患者症状均明显缓解或解除。
Objective To introduce the successful experience in surgical treatment of partial anomalous pulmonary venous connetcion.Methods Between October 1996 and June 2003,99 patients underwent successful surgical repair of partial anomalous pulmonary venous connection under cardiopulmonary bypass.Anomalous right pulmonary venous connection to the right atrium occurred in about 90.9% in the group.Baffle to divert the pulmonary venous blood into the left atrium was used by atrial septum enlargement or reconstruction.There was no obstruction of pulmonary venous and superior vena cava.Direct anastomosis the left superior pulmonary vein to left atrium was used when left superior pulmonary vein connection to superior vena cava.Results There was no hospital mortality.One case had cardiac dysfunction.85 patients ( 85.9 %) were followed up from 2 to 47 months (average of 23.7 months).All the symptoms relieved,but one patient with TECD repair suffered mild mitral valve regurgitation and hemoglobinuria.Conclusions Avoidance the obstruction in superior vena cava and pulmonary vein and protection of the sinus node are the keys of surgical treatment of partial anomalous pulmonary vein connection.
出处
《北京医学》
CAS
北大核心
2004年第1期58-59,共2页
Beijing Medical Journal
