Commentary: The Expanding Norwood Tool Kit—You Decide

Tracy R. Geoffrion MD, MPH, Ronald K. Woods MD, PhD
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评论:不断扩大的诺伍德工具包--由您决定
我们赞扬作者为他们做得很好的手稿描述技术主动脉弓重建在诺伍德程序。[1]张建军,张建军,张建军,等。主动脉弓重建技术的研究进展。胸外科和心血管外科的手术技术:比较图集。2023;论文写得很好,视频动画是对描述的有益补充。四十年的Norwood手术已经产生了各种各样的技术,1)创造一个持久的可容纳肺动脉和支气管的通畅弓,2)建立一个通畅的血流来源,流向原生主动脉根部,最典型的是使用Damus Kaye Stansel (DKS)。作者讨论了已知的潜在问题,并提出了另一种方法来减轻这些问题,为他们的修改提供了令人信服的理由。我们不能与成功争辩,这些修改似乎表现得相当不错,至少在他们手中是这样。作为诺伍德手术的一部分,主动脉弓重建是一项具有挑战性的三维任务,它必须在Damus-Kaye-Stansel吻合中结合主动脉和肺动脉根,并重建发育不全的主动脉弓,通常伴有缩窄。主动脉根受压或扭转可损害冠状动脉血流,特别是在小的原生主动脉根的情况下。该技术的重点是通过将肺动脉根单独植入重建的主动脉弓,最大限度地增大主动脉根,从而保持主动脉和肺动脉根的自然空间关系。全文PDF
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
59
期刊介绍: Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.
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