Zhonghua wai ke za zhi [Chinese journal of surgery] · 1998
[Surgical treatment of aortopulmonary septal defect].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Ye W, Cao Q, Li S, Zhang W, Ding Z, Qiu Z
Аннотация
OBJECTIVE: To study the surgical treatment of aortopulmonary septal defect.
METHOD: From January 1983 to December 1996, 5 patients with aortopulmonary septal defect (APSD) (2 male and 3 female) aged from 6 to 34 years (mean 17.4 years) underwent surgical treatment. According to Mori's were classification, 5 patients belonged to type I, 2 type II and 1 type III. The diameters of the defect ranged from 1.0 to 3.0 cm. The operations were performed under moderate hypothermic cardiopulmonary bypass. Pulmonary artery incision was performed, in 3 patients while aortic incision in the other 2. All defects were repaired by Dacron patch.
RESULT: There were no operative deaths and postoperative complications. During follow-up of 10 months to 12 years, no late complications and deaths were found.
CONCLUSION: The operation should be done early as possible whenever the diagnosis is established. The surgical repair should be taken under cardiopulmonary bypass. To chose an incision on the aorta is more reasonable than on the pulmonary artery. The use the dacron patch can prevent stenosis and recanalization after operation.
METHOD: From January 1983 to December 1996, 5 patients with aortopulmonary septal defect (APSD) (2 male and 3 female) aged from 6 to 34 years (mean 17.4 years) underwent surgical treatment. According to Mori's were classification, 5 patients belonged to type I, 2 type II and 1 type III. The diameters of the defect ranged from 1.0 to 3.0 cm. The operations were performed under moderate hypothermic cardiopulmonary bypass. Pulmonary artery incision was performed, in 3 patients while aortic incision in the other 2. All defects were repaired by Dacron patch.
RESULT: There were no operative deaths and postoperative complications. During follow-up of 10 months to 12 years, no late complications and deaths were found.
CONCLUSION: The operation should be done early as possible whenever the diagnosis is established. The surgical repair should be taken under cardiopulmonary bypass. To chose an incision on the aorta is more reasonable than on the pulmonary artery. The use the dacron patch can prevent stenosis and recanalization after operation.