心包贴片导管在双向格伦分流术中的应用:一项创新技术

K. Islam, S. Moinuddin, A. K. Paul, M. Alam
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引用次数: 0

摘要

双向Glenn分流术是单心室或右心室发育不全、三尖瓣闭锁和肺动脉狭窄复合体在无法确定修复的情况下的姑息性手术,也是Fontan手术的中间步骤。可采用上腔静脉与右肺动脉吻合或导管吻合。由于解剖条件不佳,我们不得不使用导管在上腔静脉和左肺动脉之间进行吻合。由于没有公认的导管,我们使用自体心包制作导管进行吻合。术后结果令人满意。Cardiovasc。j。2020;13 (1): 92 - 94
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Use of Pericardial Patch Conduit in Bidirectional Glenn Shunt: An Innovative Technique
Bidirectional Glenn Shunt is a palliative procedure in single ventricle or hypoplastic right ventricle, tricuspid atresia and pulmonary stenosis complex where definitive repair is not feasible as well as a intermediate step of Fontan procedure. It is done by anastomosing superior venacava with right pulmonary artery or conduit can be used. We were forced to do the anastomosis between superior venacava and left pulmonary artery using a conduit as anatomy wasn’t favorable. Due to unavailability of any recognized conduits we used autologous pericardium and created a conduit with it to carry out anastomosis. Post-operative results were satisfactory. Cardiovasc. j. 2020; 13(1): 92-94
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