可调式房间隔造口在重症先天性心脏病手术中的应用

目的 探讨可调式房间隔造口在重症先天性心脏病手术中的应用方法和价值。方法 １３例重症复杂先天性心脏病患儿,７例行全腔静脉肺动脉连接术、５例行房化右心室折叠三尖瓣整形术、１全行右房肺动脉连接术。术中在心房内隧道补片或房间隔中作荷包缝合式可调式房间隔造口,４例术中结扎造口线关闭造口,４例永久性开放造口,５例将可高度装置引出胸外供术后调节。结果 全组无手术死亡和严重并发症。５例可调式装置引出胸外者,术后

Adjustable interatrial communication in management of severe congenital heart disease

OBJECTIVE: To assess the use of adjustable interatrial communication in patient with severe congenital heart disease undergoing open heart surgery. METHODS: From February 1998 to June 1999, 13 patients with severe and complex congenital heart disease underwent open heart surgery. Seven patients underwent total cavopulmonary connection, five patients repair of Ebstein's anomaly, and one patient right atrial-pulmonary connection. Adjustable interatrial communication was made in all patients. Four patients had the communication closed at the time of operation, 4 patients had the communication opened at the time of operation, and 5 patients had the communication adjusted and closed postoperatively. RESULTS: All patients had a smooth postoperative process. There were no postoperative death and no severe postoperative complications. CONCLUSION: Adjustable interatrial communication for the patients undergoing modified Fontan procedure or correction of Ebstein's anomaly may be advantageous.