{"title":"防止大动脉间冠状动脉阻塞的改良达穆斯-凯-斯坦塞勒吻合术","authors":"","doi":"10.1016/j.atssr.2024.01.017","DOIUrl":null,"url":null,"abstract":"<div><p>The conventional Damus-Kaye-Stansel procedure may cause coronary artery compression when the coronary arteries are situated between the great arteries. We have performed a modified Damus-Kaye-Stansel procedure utilizing a “flap-bridging technique,” in which an inverted U-shaped flap incised from the aorta is bridged to the main pulmonary trunk, creating sufficient space between the great arteries, in an 8-month-old boy who was a Fontan candidate with congenitally corrected transposition of the great arteries. This modified approach yielded favorable outcomes without coronary events and can effectively prevent coronary obstruction in cases where the coronary arteries run between the great arteries.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000998/pdfft?md5=e932c5cfa9fd16f9ee03c3aebf2aeccf&pid=1-s2.0-S2772993124000998-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Modified Damus-Kaye-Stansel Anastomosis to Prevent Coronary Obstruction Between the Great Arteries\",\"authors\":\"\",\"doi\":\"10.1016/j.atssr.2024.01.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>The conventional Damus-Kaye-Stansel procedure may cause coronary artery compression when the coronary arteries are situated between the great arteries. We have performed a modified Damus-Kaye-Stansel procedure utilizing a “flap-bridging technique,” in which an inverted U-shaped flap incised from the aorta is bridged to the main pulmonary trunk, creating sufficient space between the great arteries, in an 8-month-old boy who was a Fontan candidate with congenitally corrected transposition of the great arteries. This modified approach yielded favorable outcomes without coronary events and can effectively prevent coronary obstruction in cases where the coronary arteries run between the great arteries.</p></div>\",\"PeriodicalId\":72234,\"journal\":{\"name\":\"Annals of thoracic surgery short reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2772993124000998/pdfft?md5=e932c5cfa9fd16f9ee03c3aebf2aeccf&pid=1-s2.0-S2772993124000998-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of thoracic surgery short reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772993124000998\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of thoracic surgery short reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772993124000998","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
当冠状动脉位于大动脉之间时,传统的 Damus-Kaye-Stansel 手术可能会导致冠状动脉受压。我们为一名 8 个月大的男孩实施了改良的 Damus-Kaye-Stansel 手术,该男孩患有先天性大动脉转位,是丰坦(Fontan)手术的候选者,我们采用了 "皮瓣桥接技术",将从主动脉切下的倒 U 形皮瓣桥接至肺动脉主干,从而在大动脉之间创造了足够的空间。这种改良方法取得了良好的效果,没有发生冠状动脉事件,并能有效防止冠状动脉在大动脉之间运行时发生冠状动脉阻塞。
Modified Damus-Kaye-Stansel Anastomosis to Prevent Coronary Obstruction Between the Great Arteries
The conventional Damus-Kaye-Stansel procedure may cause coronary artery compression when the coronary arteries are situated between the great arteries. We have performed a modified Damus-Kaye-Stansel procedure utilizing a “flap-bridging technique,” in which an inverted U-shaped flap incised from the aorta is bridged to the main pulmonary trunk, creating sufficient space between the great arteries, in an 8-month-old boy who was a Fontan candidate with congenitally corrected transposition of the great arteries. This modified approach yielded favorable outcomes without coronary events and can effectively prevent coronary obstruction in cases where the coronary arteries run between the great arteries.