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对于三形缩症的fontan程序

R E Stanton, P R Lurie, G G Lindesmith

|August 1, 1981

概括

经过修改的Fontan手术对三形缩有效,幸存者表现出良好的临床状况. 进一步的修改和长期影响需要继续调查.

科学领域:

心脏病学心脏病学
儿科心脏手术儿科心脏手术

背景情况:

三动脉缩呈现出复杂的先天性心脏缺陷,需要手术干预.
芬坦手术是一种缓解性手术策略,用于单心室生理学.

研究的目的:

为了评估Fontan手术修改后的结果,在患有三形动症的患者中.
评估直接将右心房与右心室连接在没有管道的情况下的可行性.

主要方法:

一个修改的Fontan手术在9名患有三形动的患者 (8-24岁) 上进行.
手术方法包括管或右心室与右心室之间的直接连接.
随访包括临床评估,心脏导管,并监测并发症.

主要成果:

没有发生外科手术死亡;然而,注意到诸如多流和功能衰竭等并发症.
发生了两个晚期死亡,一个是与心脏有关的. 一位患者的导管狭窄需要重新手术.
术后导管检查显示,所有患者的右心房压升高,大多数患者没有导管或肺梯度.

结论:

经过修改的Fontan程序在治疗三管缩症方面表现出有效性.
直接的右心室到右心室连接可能是对特定患者的可行的修改.
需要长期评估右心房压对肝功能和心脏导电的影响.

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