摘要
目的 探讨部分自体肺动脉作主动脉根部移植治疗儿童先天性主动脉瓣病变.方法 郑州大学第一附属医院于2005年1月至2013年1月完成部分自体肺动脉作主动脉根部移植10例.利用部分自体肺动脉移植到病变主动脉根部并用自体心包修补成形原肺动脉,患儿以超声心动图进行随诊评估.结果 体外循环时间为（91.6±27.3） min,主动脉阻断时间为（72.6±19.9） min,患儿随诊6 ～ 96个月,无严重并发症发生,新的主动脉瓣和肺动脉瓣均无严重狭窄和关闭不全发生.结论 部分自体肺动脉作主动脉根部移植可治疗儿童先天性主动脉瓣病变.
Objective To discuss the autologous pulmonary transplantation procedure in surgery for children with congenital aortic valvule disease. Methods Ten cases of aortic valvule disease were sub- jected to the autologous pulmonary transplantation procedure in the First Affiliated Hospital of Zhengzhou U- niversity from January 2005 to January 2013. The aortic root was implanted with part of pulmonary autograft and the right ventricular outflow track was reconstructed with autologous pericardium. All cases were fol- lowed up and underwent echocardiography. Results The cardiopulmonary bypass duration was （ 91.6± 27.3） min and the aortic clamping duration was （72. 6 ± 19. 9） rain. All patients were followed up for 6-96 months. No serious complications were found. No severe regurgitation and stenosis occurred in the hen-aortic valvules and neo-pulmonary valvules, Conclusion Autologous pulmonary transplantation proce- dure can be a surgical treatmen for children with aortic valvule disease.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2013年第11期2430-2431,共2页
Chinese Journal of Experimental Surgery
关键词
肺动脉移植
主动脉瓣病变
儿童
Pulmonary transplantation
Aortic valve disease
Children
