Atrioventricular septal defect with tetralogy of Fallot: results of surgical correction.
Atrioventricular septal defect with tetralogy of Fallot: results of surgical correction.
复制标题
房室间隔缺损伴法洛四联症：手术矫正的结果。
DOI：
10.1016/s0003-4975(98)00975-8
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
D. A. Murphy
中科院分区：
文献类型：
--
作者：
S. O'blenes;D. Ross;M. Nanton;D. A. Murphy
背景近年来，完全性房室间隔缺损合并法洛四联症的外科治疗效果有所提高。关于这种复杂病变的最佳入路存在争议。我们的经验，在过去的8年中与一个单一的技术进行审查。这种病变的重要解剖特征进行了讨论，我们的方法repair.MethodsBetween 1988年和1996年，11例连续进行了纠正完全房室间隔缺损与法洛四联症。9例患者既往接受过姑息性分流术。采用两片补片技术治疗房室间隔缺损。每例患者均通过右心室切开术关闭室间隔缺损。在每例患者中，关闭了共同房室瓣左侧部分的上级和下级桥接瓣叶之间的连合。右心室流出道的管理是individualized.ResultsThere是一个死亡率在术后早期。1例患者因左房室瓣裂开需要再次手术闭合。所有幸存者目前在纽约心脏协会功能I级或II级，随访2至101 months.ConclusionsAtrioventricular septal defect with tetralogy of Fallot can be corrected with low mortality using the two-patch technique and closure of the ventricular septal defect through a combination approach using a right ventriculotomy and right atriotomy.常规关闭房室瓣左半部分的连合导致返流的发生率较低。大多数患者在中期随访时可获得良好的功能结果。法洛四联症，房室间隔缺损，修补术
BackgroundThe outcome of surgical correction of complete atrioventricular septal defect with tetralogy of Fallot has improved in recent years. Controversy exists about the optimal approach to this complex lesion. Our experience over the past 8 years with a single technique is reviewed. The important anatomic features of this lesion are discussed in relation to our method of repair.MethodsBetween 1988 and 1996, 11 consecutive patients underwent correction of complete atrioventricular septal defect with tetralogy of Fallot. Nine patients had undergone prior palliative shunts. The two-patch technique for atrioventricular septal defect was used. The ventricular septal defect was closed through a right ventriculotomy in each case. The commissure between the superior and inferior bridging leaflets of the left portion of the common atrioventricular valve was closed in each patient. Management of the right ventricular outflow tract was individualized.ResultsThere was one mortality in the early postoperative period. One patient required reoperation for closure of a dehiscent left atrioventricular valve cleft. All survivors are currently in New York Heart Association functional class I or II at follow-up ranging from 2 to 101 months.ConclusionsAtrioventricular septal defect with tetralogy of Fallot can be corrected with low mortality using the two-patch technique and closure of the ventricular septal defect through a combined approach using a right ventriculotomy and right atriotomy. Routine closure of the commissure of the left portion of the atrioventricular valve results in a low incidence of regurgitation. A good functional result can be achieved in most patients at intermediate-term follow-up.tetralogy of Fallot, atrioventricular septal defect, repair