小切口不阻断主动脉下心脏畸形矫治

Repair of cardiac defects by minimal incision without aortic cross clamp

采用胸部正中小切口 (4～ 8cm)、部分胸骨切开、体外循环不阻断主动脉心脏不停跳或室颤技术 ,对 72例先天性心脏畸形病儿进行矫治。结果表明该术式简单易行 ,无并发症 ,美容效果良好。适合小儿心脏畸形修补。

From July 1998 to June 1999, seventy two patients underwent repair of congenital heart defects by a partial sternal split and a limited skin incision(4～8?cm) under cardiopulmonary bypass without aortic cross clamp at our institution. The average age of these patients was 4 years and 5 months(range: 7 months to 12 years), and the average weight was 15.6?kg(range: 7?kg to 30?kg). Fifty six patients had simple ventricular septal defects, sixteen suffered from atrial septal defects. The average bypass time was (21±20)min (range: 8～58?min). All patients recovered rapidly from the operation in an unevenful postoperative course. Our experience demonstrates that this technique is feasible and can be performed easily in young children with simple cardiac defects, and has excellent cosmetic results. [