摘要
目的 报道 11例完全性肺静脉异位连接的外科治疗。方法 心上型 7例 ,其中 6例经右房行左房后壁与肺静脉共同干吻合 ,1例于心外行左房后壁与共同干平行吻合。心内型 4例 ,采用扩大房间隔缺损将异位的肺静脉开口矫正入左心房 ,其中肺静脉开口于冠状静脉窦者 ,采用补片沿隔瓣根部环绕至冠状静脉窦后下方将冠状静脉窦开口于左心房。异位静脉开口于上腔静脉入口处者 ,切开上腔静脉外后侧壁 ,并用自体心包扩大上腔静脉的入口。结果 11例患者全部存活 ,顺利康复。结论 最大限度地扩大左房与共同干的吻合口 ,远离共同干结扎垂直静脉 ,扩大左心房容积 ,加宽上腔静脉的入口 。
Objective To report 11 cases of total anomalous pulmonary venous connection (TAPVC) treated surgically. Methods Of the 7 cases of supracardiac TAPVC, 6 were subjected to the anastomosis between posterior left atrial wall and common pulmonary venous via right atrium and one to the paralleled anastomosis between posterior left atrial wall and common pulmonary venous from outside. In 4 cases of intracardiac TAPVC, the enlargement of ASD was performed so the malposition of pulmonary venous could communicate freely with left atrium. To repair TAPVC to the cornary sinus, the enlarged defect was then colsed with a patch from the roof of the coronary sinus. To repair TAPVC to superior vena cava (SVC), the pericardium patch was placed to enlarge the incision of out-posterior wall of SVC.Results All of these 11 patients have been survived and experienced a recovery without complications. Conclusion It is vital important to improve the results and reduce the rate of complications by the following measures: the enlargement of the incision of left atrial wall and common pulmonary venous; the ligation of vertical vena proximally; and the enlargement of left atrium volume; the enlargement of the entrance of SVC.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2003年第3期309-310,313,共3页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
