| 双向上腔静脉肺动脉吻合术 |
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| 引用本文： | 陈会文,苏肇伉. 双向上腔静脉肺动脉吻合术[J]. 中国胸心血管外科临床杂志, 2004, 11(3): 215-218 |
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| 作者姓名： | 陈会文 苏肇伉 |
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| 作者单位： | 上海第二医科大学附属新华医院,上海儿童医学中心,心胸外科,上海,200127 |
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| 摘 要： | 双向上腔静脉肺动脉吻合术(bidirectional superior cavopulmonary anastomosis,BCPA)是应用于单心室纠治中的姑息术式,主要形式有双向Glenn分流术和半Fontan手术.适应证包括作为全腔静脉-肺动脉连接术的姑息形式,部分双心室修补或1 1/2心室修补及复杂先天性心脏病手术的辅助步骤.目前对年龄的选择、术后肺动脉的生长发育、额外肺血流是否保留、侧枝血管的形成及转换全腔静脉-肺动脉连接术的时机等问题仍值得进一步研究.
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| 关 键 词： | 双向上腔静脉肺动脉吻合术 复杂先天性心脏病 适应证 |
| 文章编号： | 1007-4848(2004)03-0215-04 |
| 修稿时间： | 2003-04-28 |
Bidirectional superior cavopulmonary anastomosis |
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| CHEN Hui-wen,SU Zhao-kang.. Bidirectional superior cavopulmonary anastomosis[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2004, 11(3): 215-218 |
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| Authors: | CHEN Hui-wen SU Zhao-kang. |
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| Abstract: | Bidirectional superior cavopulmonary anastomosis(BCPA)is a palliative method used in the single ventricular repair. It mainly includes bidirectional Glenn shunt and hemi-Fontan operation. The indications of BCPA are those as an intermediate option of total cavopulmonary anastomosis, partial biventricular or 1 1/2 ventricle repair and a practical approach to complex congenital heart surgery. The choise of age,influence on pulmonary artery maturation,remain of additional pulmonary flow,formation of collaters and time to Fontan are demand of study. |
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| Keywords: | Bidirectional superior cavopulmonary anastomosis Complex congenital heart disease Indication |
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