河北医学2011，Vol.17Issue(3)：302-305,4.DOI:10.3969/j.issn.1006-6233.2011.03.007
法洛四联症伴冠状动脉畸形的外科治疗
Surgical Treatment of Tetralogy of Fallot with Anomalous Coronary Artery
钟志敏 1钟焕清 1谢翠贤 1胡楝 1刘超1
作者信息
- 1. 广东省高州市人民医院心血管外科,广东,高州,525200
- 折叠
摘要
Abstract
Objective: To summarize the results and experience of tetralogy of Fallot with anomalous coronary artery of surgical treatment in 19 cases. Method: From July 2000 to July 2010, nighteen patients of tetralogy of Fallot with anomalous coronary artery surgical treatment were reviewed. Aged from 8 months to 25 years old, weighting from 8.5 -52.0 kg. Including the right coronary artery originating from the left coronary artery or left anterior descending coronary artery in 6 cases, left anterior descending artery originated from right coronary artery in 9 cases, abnormal thick tapered artery in 4 cases ,all across the right ventricular outflow tract ( near the pulmonary valve annulus), One-stage correction was done in 16 cases, moderate hypothermic cardiopulmonary bypass in surgery. Using polyester film or bovine poricardial patch ventricular septal defect. Using pericardium patch or pericardium plus polyester film widen the right ventricular outflow tract,pulmonary artery. The other 3 cases of palliative surgery. Result: There were 3 cases deaths, the mortality was 15.8％, operative mortality was higher, mainly due to surgery died from low cardiac output syndrome.Conclusion: Tetralogy of Fallot with anomalous coronary artery of surgery mortality rate is higher, select the appropriate surgical approach and the right ventricular outflow tract reconstruction for improving the efficacy.But across the right ventricular outflow tract is a method of coronary artery malformation repair of tetralogy of Fallot surgery risk factors.关键词
法洛四联症/冠状动脉畸形/外科治疗Key words
Tetralogy of fallot/ Anomalous coronary artery/ Surgical treatment引用本文复制引用
钟志敏,钟焕清,谢翠贤,胡楝,刘超..法洛四联症伴冠状动脉畸形的外科治疗[J].河北医学,2011,17(3):302-305,4.
