单向活瓣补片治疗合并重度肺动脉高压双向分流型室间隔缺损

目的总结本院自2003年至2008年用自制单向活瓣补片治疗合并重度肺动脉高压双向分流型室间隔缺损15例的经验。方法对收治的15例合并重度肺动脉高压双向分流的室间隔缺损患者行单向活瓣补片修补室间隔缺损。结果本组15例病人无手术死亡，疗效满意，1周时有7例右向左分流，3周时右向左分流消失。随访3个月病人自觉症状改善，肺动脉压下降。结论单向活瓣补片能降低肺动脉高压危象的发生率，降低围术期死亡率，围术期的管理也非常重要。

One - way - valved patch for repair of ventricular septal defect with severe pulmonary hypertension with Bi - directional shunt

Objective To summerize the surgical effect with one - way - valved patch to treat vetricular septal defect with severe pulmonary hypertension with bi - directional shunt since 2003. Methods The materials of 15 patients with ventricular septal defect and severe PH with bi - directional shunt who were treated by one - way - valved patch were analyzed. Results No patient died in hospital after operation due to pulmonary hypertention crisis and the low output of left ventrical. Most patients felt better than preoperation and their pulmonary artery pressure decreased gradually. Conclusions One - way - valved patch is useful in decreasing the rate of perioperative pulmonary hypertension crisis and perioperation mortality. The perioperative therapy and prioperative evaluation are also essential to raise surgical operation effect.