摘要
目的 评估体外循环心脏不停跳下心外管道Fontan手术的方法及其效果。 方法 本组 4 2例中 ,男性 31例、女性 11例 ,年龄 3～ 19岁 ,其中心室双入口 19例 ,三尖瓣闭锁 10例 ,二尖瓣闭锁 3例 ,其他复杂先天性心脏病 10例。均在常温体外循环心脏不停跳下施行心外管道Fontan手术 ,其中 8例加行开窗术 ;1例先做了双向腔肺动脉分流术 ,术后 2年行心外管道Fontan手术。结果 术后早期和晚期各死亡 1例 ,分别死于急性肝功能衰竭和反复肺部感染 ,随访 1 0～ 4 5年 ,4 0例心功能为Ⅰ级和Ⅱ级 ,动脉血氧饱合度 92 %～ 96 %。 结论 体外循环心脏不停跳下心外管道Fontan手术的近、中期效果满意 ,可在单一心室修复中选用。
Objective To evaluate the results of Fontan operation with extracardiac conduit on beating hearts. Methods Forty-two patients (31 males and 11 females) age ranged from 3 to 19 years old included in this study. There were 19 double inlet-ventricle, 10 tricuspid atresia, and 3 patients with mitral atresia, 10 patients with other complex congenital cardiac malformations. Fontan operations with extracardiac conduit were performed in all patients with the help of cardiopulmonary bypass without hypothermia in this study. Atrial septal fenestration was performed in 8 patients.In one patient, bi-directional cavopulmonary procedure was performed 2 years before Fontan operation. Results There was one early death caused by acute hepatic function failure and one late death caused by repeated lung infections. The follow-up of 1 to 4.5 years showed that all patients′ cardiac functions were grade Ⅰ to Ⅱ, and arterial oxygen saturation was 92%～96%. Conclusions The early and mid-term outcome of Fontan operation with extracardiac conduit on beating hearts is good and the method can be used in the single ventricle repair.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2004年第8期458-461,共4页
Chinese Journal of Surgery
关键词
体外循环
心脏不停跳
心外管道
FONTAN手术
Beating hearts
Fontan procedure
Heart defects,congenital
Extracardiac conduit
