完全型肺静脉异位引流的外科治疗

目的总结完全型肺静脉异位引流的外科治疗经验。方法4例患者在体外循环下完成手术，1例行姑息性房间隔缺损扩大术，余3例经房间隔行左房后壁与肺总静脉吻合，用涤纶补片修补房间隔缺损。结果手术无死亡，3例随访4个月-2年，无远期死亡和吻合口狭窄发生。结论完全型肺静脉异位引流手术的关键在于左房与肺总静脉的吻合应足够大，避免吻合口狭窄。

The surgical treatment of total anomalous pulmonary venous drainage

Objective To describe the experience in surgical treatment of total anomalous pulmonary venous drainage.Methods From January 1994 to December 2004,4 Patients with TAPVD were corrected under cardiopulmonary bypass. One patient was performed by a palliative enlargement of atrial septal defect (ASD).Three patients were totally corrected.The direct anastomosis was carried out between the posterior wall of the left atrium and the common pulmonary vein through the atrial septum. The ASD was closed by a Dacron patch.Results There was no operative mortality .There were no death cases and anastomotic stenostomia during follow-up period (4 months to 2 years) in three patients. Conclusion The bigger anastomotic orifice and avoidance the anastomotic stenostomia are the keys of surgical treatment of total anomalous pulmonary venous drainage.