“复合”技术治疗合并体肺侧支动脉重症法洛四联征疗效分析  

Hybrid procedure for severe tetralogy of Fallot with aortopulmonary collateral arteries

作　　者：李志强[1] 朱耀斌[1] 刘迎龙[1] 李守军[2,3] 闫军[2,3] 

机构地区：[1]首都医科大学附属北京安贞医院小儿心脏中心,北京市100029 [2]北京协和医院 [3]中国医学科学院阜外心血管病医院外科,北京市100037

出　　处：《中华实用诊断与治疗杂志》2011年第3期241-242,共2页Journal of Chinese Practical Diagnosis and Therapy

基　　金：北京市医药产品和技术重大项目培育研究(Z101107050210020);科研基地-科技创新平台(PXM2011_014226_07_000060)

摘　　要：目的:评价体肺侧支动脉封堵同期联合根治术治疗重症法洛四联征的临床效果。方法:经造影证实存在粗大体肺侧支动脉的33例重征法洛四联征患者,在杂交手术室先行侧支动脉封堵术,之后行传统根治手术。结果:33例患者中共发现体肺侧支动脉53支,成功封堵粗大侧支动脉35支,未发生造影及封堵相关并发症,死亡2例,余均痊愈出院。结论:"复合"技术治疗合并体肺侧支动脉重症法洛四联征安全、简便、有效。Objective To evaluate the clinical outcome of collateral embolization combined with surgical repair for tetralogy of Fallot with aortopulmonary collateral arteries.Methods Thirty-three patients with tetralogy of Fallot were angiographically proved major aortopulmonary collateral arteries.The transcatheter aortapulmonary collateral vessels embolization and afterward corrective operation were performed in all these patients.Results All thirty-three patients were found 53 collateral arteries,in which 35 were occluded successfully.No complications related to angiography or occlusion occurred.Two patients died of acute respiratory distress syndrome.Conclusion Hybrid procedure for severe tetralogy of Fallot with aortopulmonary collateral arteries is an effective and safe method.

关 键 词：法洛四联征 体肺侧支 “复合”技术 

分 类 号：R654.2[医药卫生—外科学]