心上路徑矯治新生兒期完全性肺靜脈異位引流_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

羅凱 ,  鄭景浩

上海交通大學醫學院附屬上海兒童醫學中心?心胸外科（上海?200127）;

Corresponding?author：

鄭景浩, Email: zhengjh210@163.com

Keywords：

心上型完全性肺靜脈異位引流; 心上法; 新生兒

DOI：

10.7507/1007-4848.20150045

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的總結新生兒期心上型完全性肺靜脈異位引流（TAPVD）的手術治療經驗，推廣心上法在TAPVD手術治療中的應用。方法回顧性分析2008年8月至2013年8月上海兒童醫學中心收治新生兒期心上型梗阻型TAPVD患兒7例的臨床資料，其中男5例、女2例，年齡8～28（18.3±7.7）d，體重3.1～4.5（3.57±0.47）kg。全部患兒在全身麻醉低溫體外循環下行心上法矯治術。結果 7例患兒術后早期（1個月內）無死亡。隨訪3個月至4年，吻合口均保持通暢，無明顯肺靜脈回流梗阻，中期隨訪無心律失常及死亡發生。結論心上法矯治新生兒期心上型TAPVD可獲得較大吻合口，減少心房內操作，有效降低術后死亡率、心律失常及吻合口再狹窄率。

Citation： 羅凱, 鄭景浩. 心上路徑矯治新生兒期完全性肺靜脈異位引流. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(2): 165-167. doi: 10.7507/1007-4848.20150045 Copy

1.	Kanter KR. Surgical repair of total anomalous pulmonary venous connection. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2006, 9(1):40-44.
2.	丁文祥, 蘇肇伉, 主編.現代小兒心臟外科學.山東:山東科學技術出版社, 2013. 591-596.
3.	Suarez MR, Panos AL, Salerno TA, et al. Modified "sutureless" anastomosis for primary repair of supracardiac total anomalous pulmonary venous connection. J Card Surg, 2009, 24(5):564-566.
4.	徐志偉, 蘇肇伉, 王順民, 等.采用左心房頂部進路糾治心上型完全性肺靜脈異位連接.中華小兒外科雜志, 2004, 25(1):32-34.
5.	Karamlou T, Gurofsky R, AI Sukhni E, et al. Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation, 2007, 115(12):1591-1598.
6.	葛同開, 歐艷秋, 丁以群, 等.心上型完全性肺靜脈異位引流手術132例的治療效果分析.中國胸心血管外科臨床雜志, 2014, 21(6):774-778.
7.	Tucker BL, Lindesmith GG, Stiles QR, et al. The superior approach for correction of the supracardiac type of total anomalous pulmonary venous return. Ann Thorac Surg, 1976, 22(4):374-377.
8.	Okonta KE, Agarwal V, Abubakar U. Superior repair:A useful approach for some anatomic variants of total anomalous pulmonary venous connection. Afr J Paediatr Surg, 2013, 10(2):131-134.
9.	Chowdhury UK, Subramaniam KG, Joshi K, et al. Rechanneling of total anomalous pulmonary venous connection with or without vertical vein ligation:Results and guidelines for candidate selection. J Thorac Cardiovasc Surg, 2007, 133(5):1286-1294.
10.	Sarita? B, ?elik M, Tatar T, et al. The outcome of the vertical vein left intact during the surgery for total anomalous venous connection and its effects on ventricular functions. Anadolu Kardiyol Derg, 2011, 11(7):638-642.
11.	Hote MP, Garg S, Choudhury M, et al. Open vertical vein in nonobstructed supracardiac TAPVC:merits and fate. Asian Cardiovasc Thorac Ann, 2012, 20(2):114-119.
12.	Cheung YF, Lun KS, Chau AKT, et al. Fate of the unligated vertical vein after repair of supracardiac anomalous pulmonary venous connection. J Paediatr Child Health, 2005, 41(7):361-364.
13.	鄭景浩, 徐志偉, 劉錦紛, 等.新生兒梗阻型完全性肺靜脈異位引流的治療.中華胸心血管外科雜志, 2011, 27(12):709-712.
14.	Ou-Yang WB, Zhang H, Yang KM, et al. Modified anastomosis for repair of supracardiac total anomalous pulmonary venous connection in infants. J Card Surg, 2012, 27(3):387-389.
15.	Najm HK, Caldarone CA, Smallhorn J, et al. A sutureless technique for the relief of pulmonary vein stenosis with the use of in situ pericardium. J Thorac Cardiovasc Surg, 1998, 115(2):468-470.
16.	Hasegawa T, Oshima Y, Maruo A, et al. Primary sutureless repair for simple total anomalous pulmonary venous connection with a risk of postoperative pulmonary venous stenosis. Gen Thorac Cardiovasc Surg, 2013, 61(9):528-530.
17.	Buitrago E, Panos AL, Ricci M. Primary repair of infracardiac total anomalous pulmonary venous connection using a modified sutureless technique. Ann Thorac Surg, 2008, 86(1):320-322.
18.	Mueller C, Dave H, Prêtre R. Primary correction of total anomalous pulmonary venous return with a modified sutureless technique. Eur J Cardiothoracic Surg, 2013, 43(3):635-640.
19.	Husain SA, Maldonado E, Rasch D, et al. Total anomalous pulmonary venous connection:factors associated with mortality and recurrent pulmonary venous obstruction. Ann Thorac Surg, 2012, 94(3):825-832.
20.	H?rer J, Neuray C, Vogt M, et al. What to expect after repair of total anomalous pulmonary venous connection:data from 193 patients and 2902 patient years. Eur J Cardiothoracic Surg, 2013, 44(5):800-807.
21.	Shen Q, Pa M, Hu X, et al. Role of plain radiography and CT angiography in the evaluation of obstructed total anomalous pulmonary venous connection. Pediatr Radiol, 2013, 43(7):827-835.
22.	Yao Q, Hu X, Pa M, et al. Non-ECG-gated MDCTA of infracardiac total anomalous pulmonary venous connection in neonates and young infants. Herz, 2013, 38(5):539-543.

1. Kanter KR. Surgical repair of total anomalous pulmonary venous connection. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2006, 9(1):40-44.
2. 丁文祥, 蘇肇伉, 主編.現代小兒心臟外科學.山東:山東科學技術出版社, 2013. 591-596.
3. Suarez MR, Panos AL, Salerno TA, et al. Modified "sutureless" anastomosis for primary repair of supracardiac total anomalous pulmonary venous connection. J Card Surg, 2009, 24(5):564-566.
4. 徐志偉, 蘇肇伉, 王順民, 等.采用左心房頂部進路糾治心上型完全性肺靜脈異位連接.中華小兒外科雜志, 2004, 25(1):32-34.
5. Karamlou T, Gurofsky R, AI Sukhni E, et al. Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation, 2007, 115(12):1591-1598.
6. 葛同開, 歐艷秋, 丁以群, 等.心上型完全性肺靜脈異位引流手術132例的治療效果分析.中國胸心血管外科臨床雜志, 2014, 21(6):774-778.
7. Tucker BL, Lindesmith GG, Stiles QR, et al. The superior approach for correction of the supracardiac type of total anomalous pulmonary venous return. Ann Thorac Surg, 1976, 22(4):374-377.
8. Okonta KE, Agarwal V, Abubakar U. Superior repair:A useful approach for some anatomic variants of total anomalous pulmonary venous connection. Afr J Paediatr Surg, 2013, 10(2):131-134.
9. Chowdhury UK, Subramaniam KG, Joshi K, et al. Rechanneling of total anomalous pulmonary venous connection with or without vertical vein ligation:Results and guidelines for candidate selection. J Thorac Cardiovasc Surg, 2007, 133(5):1286-1294.
10. Sarita? B, ?elik M, Tatar T, et al. The outcome of the vertical vein left intact during the surgery for total anomalous venous connection and its effects on ventricular functions. Anadolu Kardiyol Derg, 2011, 11(7):638-642.
11. Hote MP, Garg S, Choudhury M, et al. Open vertical vein in nonobstructed supracardiac TAPVC:merits and fate. Asian Cardiovasc Thorac Ann, 2012, 20(2):114-119.
12. Cheung YF, Lun KS, Chau AKT, et al. Fate of the unligated vertical vein after repair of supracardiac anomalous pulmonary venous connection. J Paediatr Child Health, 2005, 41(7):361-364.
13. 鄭景浩, 徐志偉, 劉錦紛, 等.新生兒梗阻型完全性肺靜脈異位引流的治療.中華胸心血管外科雜志, 2011, 27(12):709-712.
14. Ou-Yang WB, Zhang H, Yang KM, et al. Modified anastomosis for repair of supracardiac total anomalous pulmonary venous connection in infants. J Card Surg, 2012, 27(3):387-389.
15. Najm HK, Caldarone CA, Smallhorn J, et al. A sutureless technique for the relief of pulmonary vein stenosis with the use of in situ pericardium. J Thorac Cardiovasc Surg, 1998, 115(2):468-470.
16. Hasegawa T, Oshima Y, Maruo A, et al. Primary sutureless repair for simple total anomalous pulmonary venous connection with a risk of postoperative pulmonary venous stenosis. Gen Thorac Cardiovasc Surg, 2013, 61(9):528-530.
17. Buitrago E, Panos AL, Ricci M. Primary repair of infracardiac total anomalous pulmonary venous connection using a modified sutureless technique. Ann Thorac Surg, 2008, 86(1):320-322.
18. Mueller C, Dave H, Prêtre R. Primary correction of total anomalous pulmonary venous return with a modified sutureless technique. Eur J Cardiothoracic Surg, 2013, 43(3):635-640.
19. Husain SA, Maldonado E, Rasch D, et al. Total anomalous pulmonary venous connection:factors associated with mortality and recurrent pulmonary venous obstruction. Ann Thorac Surg, 2012, 94(3):825-832.
20. H?rer J, Neuray C, Vogt M, et al. What to expect after repair of total anomalous pulmonary venous connection:data from 193 patients and 2902 patient years. Eur J Cardiothoracic Surg, 2013, 44(5):800-807.
21. Shen Q, Pa M, Hu X, et al. Role of plain radiography and CT angiography in the evaluation of obstructed total anomalous pulmonary venous connection. Pediatr Radiol, 2013, 43(7):827-835.
22. Yao Q, Hu X, Pa M, et al. Non-ECG-gated MDCTA of infracardiac total anomalous pulmonary venous connection in neonates and young infants. Herz, 2013, 38(5):539-543.

Previous Article
Current Status of Treatment of Hepatic Echinococcosis
Next Article
Nerve Growth Factor Promotes Angiogenesis and Skeletal Muscle Fiber Remodeling in A Mouse Hindlimb Ischemic Model

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

心上路徑矯治新生兒期完全性肺靜脈異位引流

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content