经左房顶部矫治心上型完全性肺静脉异位引流的体会  

The superior approach for repair of the supracardiac type of total anomalous pulmonary venous return

作　　者：陈元恒[1] 杨军民[1] 张红超[1] 于鲁峰[1] 李令珂[1] 徐金星[1] 

机构地区：[1]空军总医院心血管外科,北京市100036

出　　处：《中国心血管病研究》2009年第6期401-403,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的探讨经左房顶部径路矫治心上型完全性肺静脉异位引流的体会。方法2005年1月至2008年1月经左房顶部径路矫治心上型完全性肺静脉异位引流5例，女性3例，男性2例，年龄2-13（7．00±3．85）岁，在全麻体外循环下经左房顶部径路进行矫治。结果均治愈出院，随访0．5～2．5年，生长发育良好，无心律失常和吻合口狭窄。结论经左房顶部径路矫治心上型完全性肺静脉异位引流，手术方便，显露好，减少心律失常和吻合口狭窄的发生。Objective To review the surgical treatment of supracardiac type of total anomalous pulmonary venous return. Methods Five patients with supracardiac type of total anomalous pulmonary venous return underwent surgical repair under cardiopulmonary bypass from January 2005 to January 2008. There were 2 male and 3 females whose aged from 2 to 13 years [mean （7.00±3.85）years]. The direct anastomosis between the top of the left atrium and the common pulmonary venous trunk were performed that were exposed through the transverse sinus. Results There was no operative mortality, no arrhythmia and pulmonary venous return obstruction occurred during follow-up period （5 months to 2.5 years）. Conclusion The superior approach for repair supracardiac type of TAPVR between the top of the left atrium and the common pulmonary venous trunk can afford a better exposure and easy for operating. The postoperative complications of arrhythmia and pulmonary venous return obstruction are low.

关 键 词：心脏缺损 先天性 肺静脉异位引流 心脏外科手术 

分 类 号：R654.2[医药卫生—外科学]