EXTRACARDIAC ATRIAL PEDICLE CONDUIT REPAIR OF PARTIAL ANOMALOUS PULMONARY VENOUS CONNECTION TO THE SUPERIOR VENA-CAVA IN CHILDREN
EXTRACARDIAC ATRIAL PEDICLE CONDUIT REPAIR OF PARTIAL ANOMALOUS PULMONARY VENOUS CONNECTION TO THE SUPERIOR VENA-CAVA IN CHILDREN
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DOI：
10.1016/s0003-4975(10)62284-9
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发表时间：
1984-01-01
影响因子：
4.6
通讯作者：
HATCHER, CR
中科院分区：
文献类型：
--
作者：
WILLIAMS, WH;ZORNCHELTON, S;HATCHER, CR
1982年6月至1983年7月，对6例小儿部分性肺静脉异位引流至上级腔静脉（SVC）中、上段的病例，采用在肺静脉异位汇入处近端切断SVC的方法进行了修复。通过直接吻合至右心房（RA）附件或通过创建RA附件、RA游离壁和心包的蒂管道，建立SVC头端与右心房之间的连续性。异常肺静脉仍在SVC下段原位，血液通过房间隔缺损被放置在右心房内远离窦房结、异常肺静脉和腔房交界处的心包补片引导至左心房。所有患儿均存活，保持正常窦性心律，没有腔静脉或肺静脉阻塞的证据。随访心脏导管插入术、心血管造影和霍尔特记录支持该技术作为一种替代方法治疗在腔房交界处上方与SVC相连的异常肺静脉的有效性。
Between June, 1982, and July, 1983, 6 children with partial anomalous pulmonary venous connection to the middle or high segment of the superior vena cava (SVC) underwent repair of the anomaly by division of the SVC proximal to the site of entry of the anomalous pulmonary veins. Continuity between the cephalad end of the SVC and the right atrium was established by direct anastomosis to the right atrial (RA) appendage or by creation of a pedicle conduit of RA appendage, RA free wall and pericardium. The anomalous pulmonary veins remained in situ on the lower segment of SVC, blood being directed to the left atrium through an atrial septal defect by a pericardial patch placed within the right atrium well away from the sinoatrial node, anomalous pulmonary veins and cavoatrial junction. All children have survived, remain in normal sinus rhythm, and have no evidence of vena caval or pulmonary venous obstruction. Follow-up cardiac catheterizations, angiocardiograms and Holter recordings support the efficacy of this technique as an alternative in the management of anomalous pulmonary veins joining the SVC well above the cavoatrial junction.