一侧肺动脉缺如的再血管化治疗  被引量:1

surgery for unilateral absence of a pulmonary artery

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作  者:陆叶 陈伟丹[1] 马力[1] 杨盛春[1] 邹明晖[1] 夏园生[1] 刘特长 张明杰[1] 陈欣欣[1] Lu Ye;Chen Weidan;Ma Li;Yang Shengchun;Zou Minghui;Xia Yuansheng;Liu Techang;Zhang Mingjie;Chen Xinxin(Department of Cardiovascular Surgery,Guangzhou Women and Children's Medical Center,Guangzhou Medical University Guangzhou 510623,China)

机构地区:[1]广州医科大学附属广州市妇女儿童医疗中心心脏中心,510623

出  处:《中华胸心血管外科杂志》2018年第9期531-533,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘  要:目的总结一侧肺动脉缺如的再血管化外科治疗效果。方法2014年11月至2016年7月,共行一侧肺动脉缺如的再血管化外科治疗5例,年龄1-6个月;体质量3.9-5.8 kg。1例为左肺动脉缺如,4例右肺动脉缺如;3例为孤立性一侧肺动脉缺如,1例合并法洛四联症,1例合并房间隔缺损。术中均通过连接肺门肺动脉残迹和主肺动脉再血管化。结果无手术死亡,术后ICU停留3-14天,随访14-34个月,5例患儿均一般情况好,复查超声心动图提示肺动脉血流通畅。结论一侧肺动脉缺如的再血管化外科治疗可以取得良好的效果。ObjectiveTo summarize the revascularization surgery results of patients with unilateral absence of a pulmonary artery.MethodsFrom November 2014 to July 2016, 5 patients with unilateral absence of a pulmonary artery underwent surgical revascularization at Guangzhou Women and Children Medical Center. The age and body weight at surgery was 1-6 months and 3.9-5.8 kg. One patient was diagnosed with unilateral absence of left pulmonary artery. The other 4 patients were diagnosed with unilateral absence of right pulmonary artery. Three patients were diagnosed with isolated unilateral absence of a pulmonary artery. One was associated with Tetralogy of Fallot. One was associated with atrial septal defect. Revascularization was performed by connection of hilar artery and the main pulmonary artery, using direct anastomosis, Gore-Tex conduit or pericardial conduit.ResultsThere was no mortality. The ICU stay after operation were 3-14 days. The follow-up duration was 14-34 months. All patients were alive and free from significant pulmonary stenosis.ConclusionRevascularization surgery for patients with unilateral absence of a pulmonary artery is effective and achieved satisfactory results.

关 键 词:肺动脉缺如 先天性心脏病 肺动脉高压 

分 类 号:R726.5[医药卫生—儿科]

 

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