| 改良单片法矫治儿童完全型房室间隔缺损单中心应用 |
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| 引用本文： | 陈泽文,李晓华,温树生,陈寄梅,庄建,李一凡,岑坚正,许刚,崔虎军,滕云,张勇,谢稳. 改良单片法矫治儿童完全型房室间隔缺损单中心应用[J]. 中国胸心血管外科临床杂志, 2021, 0(4): 435-440 |
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| 作者姓名： | 陈泽文 李晓华 温树生 陈寄梅 庄建 李一凡 岑坚正 许刚 崔虎军 滕云 张勇 谢稳 |
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| 作者单位： | 广东省人民医院（广东省医学科学院）广东省心血管病研究所小儿心脏外科广东省华南结构性心脏病重点实验室;广东省人民医院（广东省医学科学院）广东省心血管病研究所心儿科广东省华南结构性心脏病重点实验室 |
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| 基金项目： | 国家重点研发计划(2018YFC1002600;2020YFC1107904);广东省科技计划项目(2017A070701013;2017B090904034;2017B030314109;2018B090944002;2019B020230003);广东省登峰计划项目(DFJH201802)。 |
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| 摘 要： | 目的 总结应用改良单片法(modified single-patch,MSP)矫治儿童完全型房室间隔缺损(complete atrioventricular septal defect,CAVSD)的相关经验.方法 回顾性分析2009年6月至2017年12月间在我中心采用MSP技术行CAVSD双心室矫治术141例患儿的...
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| 关 键 词： | 完全型房室间隔缺损 儿童 外科矫治 改良单片法 房室瓣反流 |
Modified single-patch technique for children with complete atrioventricular septal defect in a single center |
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| CHEN Zewen,LI Xiaohua,WEN Shusheng,CHEN Jimei,ZHUANG Jian,LI Yifan,CEN Jianzheng,XU Gang,CUI Hujun,TENG Yun,ZHANG Yong,XIE Wen. Modified single-patch technique for children with complete atrioventricular septal defect in a single center[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 0(4): 435-440 |
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| Authors: | CHEN Zewen LI Xiaohua WEN Shusheng CHEN Jimei ZHUANG Jian LI Yifan CEN Jianzheng XU Gang CUI Hujun TENG Yun ZHANG Yong XIE Wen |
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| Affiliation: | (Department of Congenital Cardiac Surgery,Guangdong Cardiovascular Institute,Guangdong Provincial People’s Hospital,Guangdong Academy of Medical Sciences,Guangdong Provincial Key Laboratory of South China Structural Heart Diseases,Guangzhou,510100,P.R.China;Department of Pediatric Cardiology,Guangdong Cardiovascular Institute,Guangdong Provincial People’s Hospital,Guangdong Academy of Medical Sciences,Guangdong Provincial Key Laboratory of South China Structural Heart Diseases,Guangzhou,510100,P.R.China) |
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| Abstract: | Objective To sum up the experience of the primary modified single-patch(MSP)technique applied in our hospital for children with complete atrioventricular septal defect(CAVSD).Methods The clinical data of 141 children who underwent primary MSP technique for CAVSD between June 2009 and December 2017 were retrospectively analyzed,including 62 males and 79 females with a median age of 6(3,11)months and a median weight of 5.8(4.5,7.0)kg.According to Rastelli classification,there were 116 patients in type A,14 in type B and 11 in type C.Among them,15 patients were diagnosed with Down’s syndrome.Cardiopulmonary bypass time,aortic cross clamp time,atrioventricular valve regurgitation and other clinical data were recorded during and after operation.Results Postoperatively, 17 patients suffered from severe left atrioventricular valve regurgitation (LAVVR) and 6patients severe right atrioventricular valve regurgitation (RAVVR). In the follow-up period, 5 patients suffered fromsevere LAVVR and 1 patient severe RAVVR. Left ventricular outflow tract obstruction (LVOTO) appeared in 1 patientduring follow-up period and none at the end of follow-up. There were 5 early deaths and 2 late deaths. Twelve patientsunderwent reoperation with a median interval time of 268 (8, 1 270) days. Conclusion MSP technique is a wise surgicalstrategy for CAVSD children with good outcomes, improved postoperative mortality and decreased atrioventricular valveregurgitation. |
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| Keywords: | Complete atrioventricular septal defect children surgical correction modified single-patch technique atrioventricular valve regurgitation |
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