The research of operation concept in pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals
10.3760/cma.j.issn.1001-4497.2014.05.001
- VernacularTitle:肺动脉闭锁合并室间隔缺损和MAPCA手术理念探讨
- Author:
Jinghao ZHENG
;
Zhiwei XU
;
Jinfen LIU
;
Zhaokang SU
;
Wenxiang DING
- Publication Type:Journal Article
- Keywords:
Pulmonary atresia;
Major aortopulmonary collaterals;
Cardiac surgical procedures
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2014;30(5):257-260
- CountryChina
- Language:Chinese
-
Abstract:
Objective Sum up the research of concept of surgical procedure of PA/VSD/MAPCA.Methods Between January 2003 and December 2012,92 children were operated,aged 1 day to 5.2 years ; median age (1.3 ± 0.6) years.There were 26 cases for one stage operation,66 cases were for palliative operation which were divided into 3 stages.The 3 stages of palliative operation included system to pulmonary shunt,conduit from RVOT to MPA or transannular patch from RVOT to MPA,enlargemene of pulmonary artery and ligation of MAPCA.From all the patients,15 cases had been finished the two staged operation.In the end,there were 17 cases who were completed two or three stage radical operation.Results There were 3 cases who died from the first period.There were 9 cases who were completed two stage operation,and 1 case died.There were 8 cases who were completed three stage operation.there was 1 cases who died in this period.Conclusion The surgical treatment for the PA/VSD/MAPCA could be that the connection between RVOT and pulmonary artery should be performed as early as possible which could provide the blood flow to pulmonary artery and promote the growth.Uniforcalization could also be set up as early as possible if it is needed.It could be ligated in different period.The PA/VSD/MAPCA could be repaired by stagesand have satisfied results.
