经右心房和肺动脉径路矫治法洛四联症
法洛四联症,,法洛四联症；右心房；肺动脉,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨经右心房和肺动脉径路矫治法洛四联症的手术适应证和手术效果。方法 39例患者，在经食管超声心动图(TEE)的监测下，经右心房和肺动脉径路行法洛四联症矫治术。结果 1例患者术后发生急性肾功能衰竭，经腹膜透析无效，术后第7天死亡，其余均存活。术后测定PRV/LV为0.49±0.18，RVEF(%)为53±5，小剂量多巴胺、多巴酚丁胺支持。2例患者(占5%)出现偶发室性早搏。术后随访3～24个月，Ⅰ级心功能36例，Ⅱ级心功能3例。结论 在经食管超声心动图(TEE)的监测下，法洛四联症患者均可经右心房和肺动脉径路矫治，且能保护右心功能、减少心律失常的发生。【关键词】 法洛四联症；右心房；肺动脉
Transatrial and pulmonary repair of tetralogy of Fallot
CHEN Bao-jun,CAO Dao-de,HE Guo-wei,et al.
Department of Cardiac Surgery,Central Hospital of Wuhan,Wuhan 430014,China
【Abstract】 Objective To explore the indications and results of the operations by transatrial and pulmonary repair of tetralogy of Fallot.Methods Under the guide of transesophageal echocardiography(TEE),39 cases underwent transatrial and pulmonary repair of tetralogy of Fallot.Results All patients were very well except one case who died of acute renal failure the 7th day postoperatively.Postoperative measurement of PRV/LV and RVEF(%) were 0.49±0.18 and 53±5 respectively.Only small dose of Dopamine and Dobultamine to support the hearts.2 cases had occasional ventricular extrasystole(5%).Postoperative followed up for 3～24 months,36 casescardiac function was NYHA Ⅰ and 3 cases NYHA Ⅱ.Conclusion We can do transatrial and pulmonary repair of tetralogy of Fallot for all cases under the guide of transesophageal echocardiography(TEE).In this method,it can protect right ventricle and reduce arrythmia. ......
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