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METHOD FOR SURGICAL CORRECTION OF COMMON OPEN ATRIOVENTRICULAR CANAL AT DISSECTING BRIDGE FOLDS AND APPLYING TWO FRAGMENTS
METHOD FOR SURGICAL CORRECTION OF COMMON OPEN ATRIOVENTRICULAR CANAL AT DISSECTING BRIDGE FOLDS AND APPLYING TWO FRAGMENTS
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机译：切开桥折并应用两个片段的普通开放性房室管的手术矫正方法
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摘要
FIELD: medicine, cardio-vascular surgery.;SUBSTANCE: a patient should be connected with the apparatus for artificial circulation, pharmacocryocardioplegia should be carried out. Then it is necessary to lance right atrium to perform dissection up to the bottom of bridge folds of common atrioventricular canal above the crest of interventricular septum. Then it is necessary to cover the defect of interventricular septum with the first fragment out of xenopericardium by fixing it with uninterrupted suture at interventricular part stepping several mm against the edge of the defect. Towards the upper edge of the fragment one should fix separate bridge folds of mitral and tricuspid valves. It is important to close the defect of interatrial septum with the help of the second fragment out of xenopericardium. Moreover, one should fix its inferior edge with uninterrupted suture towards the fragment at interventricular septum, and the rest edges - towards atrial tissue stepping several mm against the defect, moreover, coronary sinus should be remained in the cavity of right atrium. The innovation enables to develop natural anatomical angle between venous and arterial cardiac valves.;EFFECT: higher efficiency of surgical correction.;4 dwg, 1 ex
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机译：领域：药物，心血管外科。物质：患者应与人工循环装置连接，并应进行药物性心脏停搏。然后，有必要对右心房进行穿刺术，直到室间隔sep上方的普通房室管桥折的底部进行解剖。然后，有必要用不间断的缝合线固定在室间隔处的缺损处，方法是用不间断的缝合线将缺损处的第一个碎片固定在缺损的边缘。朝向碎片的上边缘，应固定二尖瓣和三尖瓣的单独桥折叠。重要的是要借助xenopericardium中的第二个片段来闭合房间隔缺损。此外，应使用不间断的缝线将其下边缘固定在室间隔处的碎片上，其余边缘-朝向心房组织，向缺损处步进几毫米，此外，冠状窦应保留在右心房腔中。该创新技术可以在静脉和动脉心脏瓣膜之间形成自然的解剖角度。效果：手术矫正效率更高; 4 dwg，1 ex
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