使用低温保存的肺动脉同种移植体重建左肺动脉。

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Pediatric Cardiology Pub Date : 2023-07-01 Epub Date: 2024-01-05 DOI:10.4103/apc.apc_89_23
Sachin Talwar, Pratik Kumar Jha, Arindam Choudhury, Amitabh Satsangi, Shiv Kumar Choudhary
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引用次数: 0

摘要

对于单心室心脏患者,丰坦手术是最后的缓解方法。这通常是分阶段进行的。在新生儿期或某些婴儿期患者出现发绀时,可进行全身-肺动脉分流术;在生命早期,最好进行双向上心肺吻合术。双向上腔心肺吻合术首选在生命早期进行,之后再选择性地进行最终的丰坦姑息术。要进行有效的双向上腔肺吻合术和Fontan姑息术,除了要有良好的血液动力学数据外,还必须有良好大小的汇合肺动脉(PA)。不连续的肺动脉(PA)尺寸较小的患者在最初的姑息治疗中面临手术挑战,就像本报告中描述的患者一样。
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Left pulmonary artery reconstruction using cryopreserved pulmonary homograft.

In patients with univentricular heart, the Fontan procedure is the final palliation. This is usually staged. A systemic-to-pulmonary artery shunt is performed in the presence of episodes of cyanotic spells in the neonatal period or in some patients in infancy; a bidirectional superior cardiopulmonary anastomosis is preferred early in life. This is followed by the final Fontan palliation on an elective basis later. For an effective bidirectional superior cavopulmonary anastomosis and Fontan palliation, good-sized confluent pulmonary arteries (PAs) are mandatory in addition to favorable hemodynamic data. Patients with discontinuous PAs that are small in size present a surgical challenge at initial palliation as the one described in this report.

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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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