One-lung ventilation for video-assisted thoracoscopic interruption of patent ductus arteriosus
One-lung ventilation for video-assisted thoracoscopic interruption of patent ductus arteriosus
复制标题
DOI：
10.1007/s00595-004-2872-8
复制
发表时间：
2004-12-01
期刊：
影响因子：
2.5
通讯作者：
Yoshimura, H
中科院分区：
文献类型：
--
作者：
Miyaji, K;Ka, K;Yoshimura, H
目的。视频辅助内窥镜技术最近已应用于先天性心脏病手术中动脉导管未闭(PDA)的阻断。我们报告了一种新的单肺通气技术在婴幼儿电视胸腔镜式动脉导管未闭(VATS-PDA)中的初步应用经验。16例婴儿，平均体重6.5+/-2.4 kg(2.6~12.8 kg)，采用2-F球囊导管行选择性右肺通气术。我们不需要重新定位牵引器或重新充气肺，因为没有一过性低氧或高碳酸血症。平均手术时间81±27min(45~145min)，除1例完全性肺静脉异位引流外，其余患者均在手术室拔管。这项为婴幼儿使用单肺呼吸机的技术在提供儿童胸腔通路和暴露于狭窄和微妙的解剖空间方面是安全和有效的。
Purpose. Video-assisted endoscopic techniques have recently been employed in congenital heart surgery for patent ductus arteriosus (PDA) interruption. We report our preliminary experience of using a new technique of single-lung ventilation to perform video-assisted thoracoscopic PDA interruption (VATS-PDA) in small infants and children.Methods. Sixteen infants with a mean body weight of 6.5 +/- 2.4 kg (range 2.6-12.8 kg) underwent VATS-PDA under selective right-lung ventilation using a 2-F balloon catheter for arterial embolectomy.Results. We did not need to reposition the retractor or reinflate the atelectatic lung, as there was no transient hypoxia or hypercarbia. The mean procedure time was 81 +/- 27 min (range 45-145 min) and all patients, with the exception of one with a total anomalous pulmonary venous connection, were extubated in the operating room.Conclusion. This technique using single-lung ventilation for infants and small children was safe and effective in providing pediatric thoracic access and exposure within confined and delicate anatomic spaces.