同种带瓣主动脉和带瓣肺动脉补片在儿童复杂先心病的应用  

Implantation of Valved Homograft Conduit in Children with Complex Cardiac Malformation

作　　者：刘锦纷[1] 丁文祥[1] 苏肇伉[1] 张海波[1] 

机构地区：[1]上海第二医科大学附属新华医院小儿心胸外科

出　　处：《中华胸心血管外科杂志》1994年第3期193-195,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：１９８９年１１月至１９９２年７月期间，应用低温保存同种带瓣大动脉纠治儿童复杂性先心病１２例。病人年龄２～１６岁（７．２±３．７岁），体重８～３１．５ｋｇ（１８．９±６．６ｋｇ）。诊断为法乐氏四联症（ＴＯＦ）８例，其中伴肺动脉瓣闭锁３例；冠状动脉畸形１例；严重肺动脉发育不良２例；左肺动脉缺如２例。大动脉错位伴室间隔缺损和肺动脉狭窄２例；永存动脉干畸形（Ⅱ型）２例。８例应用同种带瓣管道作右室流出道与肺动脉连接，４例应用同种带瓣肺动脉片作跨瓣环右室流出道扩大术。本组死亡１例，最长随访时间３年。文中对同种带瓣管道的取材方法，保存技术及应用方法作了讨论。Cryopreserved conduit valved homograft was used in 12 patients between November 1989 and July 1992. Ages ranged from 2 to 16 years (mean 7.2± 3.7 years) and weight varied from 8.0 to 31.5kg (mean 18.9±6.6kg) at the time of operation.The diagnosis included: 8 cases of tetralogy of Fallot (TOF) (3 cases of TOF with pulmonary atresia, 1 case of TOF with anomaly of coronary artery, 2 cases of TOF with left pulmonary atresia, 2 cases of TOF with severe pulmonary hypoplasia);2 cases of transposition of great arteries with ventricular septal. defect and pulmonary stenosis; 2 cases of truncus arteriosus (type Ⅱ). In 8 patients the right ventricular outflow tract was connected to the pulmonary artery with a valved homograft conduit. In the other 4 patients transannular patch repair with a single valved pulmonary homo graft was performed. There was one operative death. The longest follow-up study on 1 patient 3 ycars after operation showed encouraging results.Method of collection and cryopreservation techniques of VHC and the opertative procedures were discussed.

关 键 词：带瓣大动脉 先天性心脏病 儿童 

分 类 号：R726.542[医药卫生—儿科]