Preliminary experience with GORE-TEX grafting for right ventricle-pulmonary artery conduits.
Preliminary experience with GORE-TEX grafting for right ventricle-pulmonary artery conduits.
复制标题
右心室-肺动脉导管 GORE-TEX 移植的初步经验。
DOI：
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发表时间：
1986
期刊：
影响因子：
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通讯作者：
Molina Je
中科院分区：
文献类型：
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作者：
Molina Je
摘要
一个连续系列的12例患者，年龄在6½和37岁之间，接受了静脉心室-肺动脉导管植入术。使用不含人工瓣膜的GORE-TEX材料。4例患者患有L型大血管转位伴室间隔缺损（VSD）和肺动脉瓣狭窄; 4例患有法洛四联症伴肺动脉闭锁; 1例患有右心室双出口、肺动脉瓣狭窄和完整形式的A-V管。2例患者有D型大动脉转位、VSD和肺动脉狭窄; 1例患者有L型大动脉转位和孤立性肺动脉狭窄。所有患者的肺阻力和压力均较低。详细描述了植入这种非卷曲型假体的技术。随访时间为2个月至5年半。
GORE-TEX为构建这种类型的管道提供了良好的材料选择，以防止假内膜形成和阻塞，这在编织的涤纶移植物中经常观察到。
Abstract
A consecutive series of 12 patients between the ages of 6½ and 37 years underwent implantation of venous ventricle-pulmonary artery conduits. GORE-TEX material without prosthetic valves was used. Four patients had L-transposition of the great vessels with ventricular septal defect (VSD) and pulmonary stenosis; four had tetralogy of Fallot with pulmonary atresia; and one had double outlet right ventricle, pulmonary stenosis, and a complete form of A-V canal. Two patients had D-transposition of the great arteries, VSD, and pulmonary stenosis; and one patient had L-transposition of the great arteries and isolated pulmonary stenosis. All patients had low pulmonary resistance and pressures. The technique for implanting this noncrimped type of prosthesis is described in detail. Follow-up ranged from 2 months to 5½ years.
GORE-TEX offers a good choice of material for the construction of this type of conduit to prevent pseudointima formation and obstruction, which is often observed in woven Dacron grafts.