儿童先天性心脏病中右心室-肺动脉带瓣管道:临床应用与研究进展  

Right ventricular to pulmonary artery valved conduit in congenital heart disease:clinical application and emergent progress

作　　者：钟晓辉 石卓[1] 范祥明 Zhong Xiaohui;Shi Zhuo;Fan Xiangming(Department of Thoracic and Cardiovascular Surgery,National Clinical Research Center for Child Health,The Children’s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属儿童医院心胸外科、国家儿童健康与疾病临床医学研究中心、国家儿童区域医疗中心,杭州310052

出　　处：《中华胸心血管外科杂志》2024年第11期697-702,共6页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目前先天性心脏病仍是婴儿死亡的主要原因,手术矫治是先天性心脏结构畸形的主要治疗方式。在治疗部分复杂先天性心脏病时会使用带瓣管道以重建右心室-肺动脉连接,重建正常右心室流出道的解剖及血流动力学。本文综述了临床实践中最常用的右心室-肺动脉带瓣管道:同种异体带瓣管道、异种带瓣管道与聚四氟乙烯带瓣管道的使用现状与优缺点,同时探讨了随着材料学进展而不断出现的有临床应用前景的右心室-肺动脉带瓣管道。Currently,congenital heart disease is still the main cause of infant death,and surgery is the main treatment to correct congenital cardiac structural malformations.In the treatment of some complex congenital heart diseases,valved conduits are used to reconstruct the right ventricular to pulmonary artery connection and reconstruct the anatomy and hemodynamics of the normal right ventricular outflow tract.This article reviews the current usage,advantages,and disadvantages of the most commonly used right ventricular to pulmonary artery valved conduits in clinical practice:homogeneous valved conduits,heterogeneous valved conduits,and polytetrafluoroethylene valved conduits,and the right ventricular to pulmonary artery valved conduits which are emerging with the advancement of materials science and have clinical application prospects are also discussed.

关 键 词：先天性心脏病 婴儿死亡 右心室流出道 带瓣管道 血流动力学 临床实践 手术矫治 聚四氟乙烯 

分 类 号：R726.5[医药卫生—儿科]