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首页> 外文期刊>Journal of cardiac surgery. >Late complex biventricular repair after bidirectional cavopulmonary shunt.
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Late complex biventricular repair after bidirectional cavopulmonary shunt.

机译：双向腔肺分流后的晚期复杂双心室修复。

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摘要

A child diagnosed with transposition of great arteries, multiple (Swiss cheese) ventricular septal defects, and a small right ventricle underwent pulmonary artery banding and patent ductus arteriosus ligation at the age of six months. At the age of three years bidirectional cavopulmonary shunt was performed as a first stage for univentricular repair. However, the patient was lost follow-up for four years, following which further evaluation showed that the right ventricle was reasonably adequate to support pulmonary circulation if the ventricular septal defects (VSDs) were closed using percutaneous techniques. Four VSDs were then closed using Amplatzer devices (AGA Medical Corporation, Plymouth, MN, USA). At the age of eight years she underwent complex biventricular repair in the form of arterial switch, closure of atrial septal defect, take down of Glenn shunt, and reanastomosis of the distal end of the superior vena cava to the distal superior vena cava stump on the right atrium. One year later the patient is alive and well. In conclusion; biventricular repair may be considered before completion of Fontan whenever cardiac anatomy allows.
机译：在六个月大时，被诊断患有大动脉移位，多发（瑞士奶酪）心室间隔缺损和右心小的儿童接受了肺动脉束带和动脉导管未闭结扎术。在三岁时，进行双向腔肺分流作为单室修复的第一阶段。但是，该患者失去了四年的随访，其后的进一步评估显示，如果使用经皮技术封闭室间隔缺损（VSD），则右心室足够支持肺循环。然后使用Amplatzer设备（美国明尼苏达州普利茅斯的AGA Medical Corporation）关闭四个VSD。在八岁的时候，她接受了复杂的双室修复，包括动脉转换，闭合房间隔缺损，取下Glenn分流管以及上腔静脉远端到鼻腔远端上肢残端的再吻合。右心房。一年后，病人还健在。结论;只要心脏解剖允许，可以在丰坦完成之前考虑进行双心室修复。

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