Protection of the Sinus Node in Mustard's Operation
Protection of the Sinus Node in Mustard's Operation
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芥末手术中窦房结的保护
作者：
G. El;P. Gillette;D. Cooley;C. Mullins
比较了 1972 年 1 月开始进行旨在保留窦房结及其动脉供应的手术修改后接受大动脉转位 Mustard 手术的 70 名患者和 1972 年 1 月之后接受手术的 58 名患者的心律失常发生情况。手术修改包括改变上腔静脉(SVC)插管位置远离SVC-右心房交界处、在终沟前切开右心房壁、缝制挡板补片的上部远离窦房结区域。手术修改后接受手术的患者群发生心律失常的发生率显着降低。手术技术的修改减少了但并未避免。心律失常。
The occurrence of dysrhythmias after the Mustard operation for transposition of the great arteries was compared in 70 patients operated upon before and 58 patients operated upon after January 1972 when surgical modifications aimed at preserving the sino-atrial node and its arterial supply were initiated. The surgical modifications included changing the site of the superior vena cava (SVC) cannulation away from the SVC-right atrial junction, incision into the right atrial wall anterior to the sulcus terminalis, and sewing of the superior part of the baffle patch away from the sino-atrial node area.A significant decrease in the incidence of dysrhythmias occurred in the group of patients operated upon after the surgical modifications.The modifications in surgical technique have reduced but not avoided dysrhythmias.