在Fontan路径的第二阶段和第三阶段之间,额外的肺血流的重要性
Katarzyna Januszewska1, Pawel Nawrocki2, Andreas Bruenen3
1Department of Cardiac Surgery, Polish Mother's Memorial Hospital - Research Institute, Rzgowska 281/289, Lodz, 93-338, Poland. mijanusz@cyf-kr.edu.pl.
额外的肺动脉血流 (APBF) 在Fontan通道中不会改善氧和,但可以刺激肺动脉生长并增加压力. APBF不会影响手术后的过程,但可能会增加对心房膜重建的需要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 外科手术的结果
背景情况:
- 在Fontan通路中额外的肺血流 (APBF) 的作用受到争论.
- 了解APBF的影响对于优化单心室息至关重要.
研究的目的:
- 评估APBF对全身动脉和,心室和心房 (AV) 门功能,肺动脉发育以及术后结果的影响.
- 在Fontan路径的第2阶段和第3阶段之间,比较保留和消除APBF的儿童的结果.
主要方法:
- 对180名单心室患儿进行心外导管Fontan手术的回顾性分析.
- 在第二阶段和第三阶段之间评估APBF的存在,分析心声回声,和,血液气体和肺动脉尺寸.
主要成果:
- 在心室或AV功能或在Fontan完成前或之后的氧和没有显著差异.
- APBF组显示右肺动脉较大,肺动脉压力增加.
- 左肺动脉大小没有差异.
结论:
- 在Fontan完成后,APBF不会增强系统氧和.
- APBF可以促进肺动脉生长并提高肺动脉压力.
- 虽然不影响整体术后过程,但APBF可能会增加AV重建的可能性.
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