1(1/2)心室修补手术  

One and A Half Ventricle Repair

作　　者：刘锦纷[1] 祝忠群[1] 苏肇伉[1] 丁文祥[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》2001年第3期172-175,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的　应用 11 / 2 心室修补手术治疗小儿复杂先天性心脏病 ,探讨 11 / 2 心室修补手术指征。　方法　自1996年 3月～ 2 0 0 0年 5月 ,对 11例患者进行了 11 / 2 心室修补术。其中包括三尖瓣闭锁 ( a型 )、三尖瓣狭窄、室间隔完整型肺动脉闭锁、肺动脉狭窄和室间隔缺损等合并右心发育不良 6例 ;埃布斯坦综合征 (Ebstein anomaly C型 )、肺动脉闭锁伴 Ebstein综合征等右心室功能不良 2例以及合并左侧上腔静脉异位引流至左心房 3例。所有患者在心内修补手术后进行双向腔静脉肺动脉吻合术 ,其中房间隔开窗 3例。　结果　手术死亡 1例 ,存活 10例 ,术后血流动力学稳定 ,随访结果满意。　结论　对复杂先天性心脏病某些选择性病例 ,11 / 2 心室修补手术是一种安全、可靠。Objective To report the application of one and a half ventricle repair in the complex congenital heart diseases and to discuss the indications of the one and a half ventricle repair. Methods Between March,1996 and May,2000,11 patients underwent one and a half ventricle repair .There were six patients with hypoplastic right ventricle including tricuspid atresia (Ⅰa type),tricuspid stenosis,pulmonary atresia with intact ventricular septum,pulmonary stenosis and ventricular septum defect.Two cases with poorly functioning right ventricle included Ebstein anomaly(C type) and pulmonary atresia with Ebstein anomaly.The other three patients had complex congenital heart diseases with left super vena cava to left atrium. All patients had bidirection superior cavopulmonary anastomosis in association with repair of congenital heart defects,but atrial fenestration were left in three cases. Results One patient died ,and the hemodynamics of the other ten patients survived were stable.The results of the follow up were satisfactory. Conclusion One and a half ventricle repair is an safe,reliable and effective operation in selective patients with complex congenital heart diseases.

关 键 词：11/2心室修补手术 双向上腔静脉肺动脉吻合术 复杂先天性心脏病 

分 类 号：R654.2[医药卫生—外科学]