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带单瓣自体心包补片在右室流出道重建术中的临床研究
引用本文:林曦,张卫达,王晓武,马涛,袁彬彬,梅鲁刚.带单瓣自体心包补片在右室流出道重建术中的临床研究[J].华南国防医学杂志,2011,25(2):116-118.
作者姓名:林曦  张卫达  王晓武  马涛  袁彬彬  梅鲁刚
作者单位:广州军区广州总医院心血管外科,广东广州,510010
摘    要:目的 研究带单瓣自体心包补片在右心室流出道重建术中的应用价值.方法 2006一07/2010-12月期间收治的48例复杂先天性心脏病患者行右心室流出道重建手术,其中法洛四联症(tetralogy of Fallot,TOF)21例,法洛四联症合并肺动脉闭锁(pulmonary atresia,TOF+PA)12例,右心...

关 键 词:先天性心脏病  右室流出道重建术  自体心包补片  单瓣

Clinical Research on Autologous Pericardial Monocuspid Valve Patch in the Reconstruction of Right Ventricular Outflow Tract
LIN Xi,ZHANG Wei-da,WANG Xiao-wu,MA Tao,YUAN Bin-bin,MEI Lu-gang.Clinical Research on Autologous Pericardial Monocuspid Valve Patch in the Reconstruction of Right Ventricular Outflow Tract[J].Military Medical Journal of South China,2011,25(2):116-118.
Authors:LIN Xi  ZHANG Wei-da  WANG Xiao-wu  MA Tao  YUAN Bin-bin  MEI Lu-gang
Institution:.Department of Cardiovascular Surgery,Guangzhou General Hospital of Guangzhou Military Command,Guangzhou Guangdong 510010,China
Abstract:Objective To evaluate the application value of right ventricular outflow tract(RVOT) reconstruction with an autologous pericardial monocuspid valve patch to prevent pulmonary regurgitation.Methods Forty-eight patients were treated between July 2006 and December 2010,including patients with tetralogy of Fallot(TOF,21 cases),TOF and pulmonary atresia(TOF+PA,12 cases),double outlet right ventricle and pulmonary stenosis(DORV+PS,10 cases),persistent truncus arteriosus(PTA,5 cases).A total of 30 males and 18 females aged 0.8-16.0(5.2±4.1) years received surgical correction with RVOT reconstruction with autologous pericardial monocuspid valve patch.During the operation,the RVOT was enlarged with the autologous pericardial patch,and a predesigned part of the pericardial patch was folded to form a monocuspid valve,which was stitched along with the pericardial patch.Postoperational follow-up was conducted for 2-36(17.1±9.5) months.Results No surgical mortality and RVOT restenosis were recorded after operation.The postoperative early haemodynamics effects were satisfying.But only 20% patients reserved normal function of the pulmonary valve at 2 years after surgery.Conclusion The autologous pericardial monocuspid valve patch can prevent pulmonary regurgitation,and though the long-term effect is not satisfying,it can reduce perioperation harm.
Keywords:Congenital heart disease  Right ventricular outflow tract reconstruction  Autologous pericardial patch  Monocuspid valve
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