心上路径矫治新生儿期完全性肺静脉异位引流_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

罗凯 ,  郑景浩

上海交通大学医学院附属上海儿童医学中心心胸外科（上海 200127）;

Corresponding author：

郑景浩, Email: zhengjh210@163.com

Keywords：

心上型完全性肺静脉异位引流; 心上法; 新生儿

DOI：

10.7507/1007-4848.20150045

Video：

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目的总结新生儿期心上型完全性肺静脉异位引流（TAPVD）的手术治疗经验，推广心上法在TAPVD手术治疗中的应用。方法回顾性分析2008年8月至2013年8月上海儿童医学中心收治新生儿期心上型梗阻型TAPVD患儿7例的临床资料，其中男5例、女2例，年龄8～28（18.3±7.7）d，体重3.1～4.5（3.57±0.47）kg。全部患儿在全身麻醉低温体外循环下行心上法矫治术。结果 7例患儿术后早期（1个月内）无死亡。随访3个月至4年，吻合口均保持通畅，无明显肺静脉回流梗阻，中期随访无心律失常及死亡发生。结论心上法矫治新生儿期心上型TAPVD可获得较大吻合口，减少心房内操作，有效降低术后死亡率、心律失常及吻合口再狭窄率。

Citation： 罗凯, 郑景浩. 心上路径矫治新生儿期完全性肺静脉异位引流. 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, 苏肇伉, 主编.现代小儿心脏外科学.山东:山东科学技术出版社, 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.	徐志伟, 苏肇伉, 王顺民, 等.采用左心房顶部进路纠治心上型完全性肺静脉异位连接.中华小儿外科杂志, 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.	葛同开, 欧艳秋, 丁以群, 等.心上型完全性肺静脉异位引流手术132例的治疗效果分析.中国胸心血管外科临床杂志, 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.	Saritaş B, Çelik 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.	郑景浩, 徐志伟, 刘锦纷, 等.新生儿梗阻型完全性肺静脉异位引流的治疗.中华胸心血管外科杂志, 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.	Hörer 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, 苏肇伉, 主编.现代小儿心脏外科学.山东:山东科学技术出版社, 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. 徐志伟, 苏肇伉, 王顺民, 等.采用左心房顶部进路纠治心上型完全性肺静脉异位连接.中华小儿外科杂志, 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. 葛同开, 欧艳秋, 丁以群, 等.心上型完全性肺静脉异位引流手术132例的治疗效果分析.中国胸心血管外科临床杂志, 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. Saritaş B, Çelik 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. 郑景浩, 徐志伟, 刘锦纷, 等.新生儿梗阻型完全性肺静脉异位引流的治疗.中华胸心血管外科杂志, 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. Hörer 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.

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心上路径矫治新生儿期完全性肺静脉异位引流

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