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右心旁路手术在复杂先天性心脏病治疗中的应用 被引量：2

Application of right ventricular bypass procedures treatment in complex congenital heart disease
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摘要 随着复杂先天性心脏病外科治疗的不断进步 ,右心旁路手术在复杂先天性心脏病治疗中的应用 ,尤以对右心室发育不良综合征类病变治疗中的意义 ,已被遂步得到认识。现就右心室发育不良综合征病变类型 ,右心旁路手术历史演变 ,各类手术选择 ,着重对双向上腔静脉肺动脉吻合术的主要适应证 ,技术操作方法、方式 ,围术期处理等作一复习 ,并对手术的适当年龄 ,转做 Fontan手术时机 ,是否采用体外循环 ,肺动脉主干是否切断以及与半 Fontan手术、11/ 2心室手术的区别加以讨论。 Follow the advance of surgical treatment in complex congenital heart disease, the application of right ventricular(RV)-bypass procedures in RV-hypoplasia/dysfunction was gradually recognized; the pathological pattern of RV-hypoplasia/dysfunction, the histological change of RV-bypass operation and the option on different operative procedure, emphasis on the indication of bidirectional superior cavopulmonary anastomosis(BCPA),the form and method of procedure,and peri-operative management were reviewed in this paper,the optimal age for BCPA, the optimal timing for conversion to Fontan procedure, on pump or off pump, section of the pulmonary trunk, and its difference from hemi-Fontan and 1 1/2 ventricular operation were discussed.
作者 孙培吾
机构地区 中山大学第一附属医院心血管外科
出处 《中国胸心血管外科临床杂志》 CAS 2004年第1期4-7,共4页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词 右心旁路手术 复杂先天性心脏病 手术指征 双向上腔静脉肺动脉吻合术 Right ventricular-bypass procedure Right ventricular hypoplasia/dysfunction Bidirectional superior cavopulmonary anastomosis
分类号 R654.2 [医药卫生—外科学]
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参考文献11

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同被引文献20

  • 1Miura T, Hiramatsu T, Forbess JM, et al. Effects of elevated coronary sinus pressure on coronary blood flow and left ventricular function. Implications after the Fontan operation. Circulation, 1995,92(9 Suppl): Ⅱ298-Ⅱ303.
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中国胸心血管外科临床杂志
2004年 第1期

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