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首页> 外文期刊>Journal of cardiac surgery. >Repair of multiple muscular ventricular septal defects: septal obliteration technique.
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Repair of multiple muscular ventricular septal defects: septal obliteration technique.

机译:修复多发性肌室间隔缺损:隔ob技术。

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BACKGROUND: The management of the apical multiple muscular ventricular septal defects (VSDs) remains still controversial. There are various surgical techniques and approaches for closure of "Swiss-cheese" VSDs. In this study, we report the outcome of multiple muscular VSDs repair, using the septal obliteration technique. METHODS: We used the septal obliteration technique in five "Swiss-cheese" ventricular septal defects cases through right atriotomy. Four of the cases had isolated multiple VSDs. One case also had an aortic arch interruption type A, which was repaired prior to cardiopulmonary bypass. Their ages varied between 43 days and 6 years. RESULTS: We did not experience any mortality or serious morbidity. Tracheostomy was required in one patient. There was no important residual shunt in postoperative period, except a minimal shunt in one case. CONCLUSION: The closure technique of "Swiss-cheese" trabecular multiple VSDs using a large single patch was not troubling. Transatrial approach prevented postoperative problems of ventricular incision. Using a large needle with a large pledgett is the key, which provides deep tissue penetration to avoid residual shunt.
机译:背景:根尖多发性肌室间隔缺损(VSDs)的管理仍存在争议。有多种手术技术和方法可用于封闭“瑞士奶酪” VSD。在这项研究中,我们报告了使用隔膜闭塞技术修复多个肌肉VSD的结果。方法:我们通过右房室切开术在5例“瑞士-奶酪”室间隔缺损病例中使用了隔隔技术。其中四个案例隔离了多个VSD。 1例也有A型主动脉弓中断,在体外循环前已修复。他们的年龄在43天到6岁之间。结果:我们没有任何死亡或严重的发病率。一名患者需要进行气管切开术。术后没有重要的残余分流,只有一例为最小分流。结论:使用大的单个贴片的“瑞士奶酪”小梁多个VSD闭合技术没有麻烦。经心房入路可防止术后出现心室切口问题。关键是使用大针头和较大的绒毛,这样可提供深层组织穿透力,避免残留分流。

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