双向上腔静脉肺动脉吻合术  

Bidirectional superior cavopulmonary anastomosis

作　　者：陈会文[1] 苏肇伉[1] 

机构地区：[1]上海第二医科大学附属新华医院上海儿童医学中心心胸外科,上海200127

出　　处：《中国胸心血管外科临床杂志》2004年第3期215-218,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：双向上腔静脉肺动脉吻合术 (bidirectional superior cavopulmonary anastomosis,BCPA)是应用于单心室纠治中的姑息术式 ,主要形式有双向 Glenn分流术和半 Fontan手术。适应证包括作为全腔静脉 -肺动脉连接术的姑息形式 ,部分双心室修补或 11/2心室修补及复杂先天性心脏病手术的辅助步骤。目前对年龄的选择、术后肺动脉的生长发育、额外肺血流是否保留、侧枝血管的形成及转换全腔静脉Bidirectional superior cavopulmonary anastomosis(BCPA)is a palliative method used in the single ventricular repair. It mainly includes bidirectional Glenn shunt and hemi-Fontan operation. The indications of BCPA are those as an intermediate option of total cavopulmonary anastomosis, partial biventricular or 1 1/2 ventricle repair and a practical approach to complex congenital heart surgery. The choise of age,influence on pulmonary artery maturation,remain of additional pulmonary flow,formation of collaters and time to Fontan are demand of study.

关 键 词：双向上腔静脉 肺动脉吻合术 BCPA 适应证 复杂先天性心脏病 

分 类 号：R654.2[医药卫生—外科学]