<Originals>Total Correction of Congenital Heart Disease Using Deep Hypothermia and Complicated Cardiac Anomalies

概要

論文の詳細を見る
Deep hypothermia with surface cooling limited cardiopulmonary bypass (Kyoto technique) has been employed at Kinki University and Amagasaki Hospital, for 164 total correction of congenital cardiac anomalies during the 10-year period. Duration of total circulatory arrest is limited to 60 minutes at the rectal temperature of 20℃ or 100 minutes at 15℃. Operative results of this method applied to various diseases are 34 deaths out of 164 babies (VSD : 69 cases/6 deaths, TF : 16/1,TGA : 50/17,TAPVR : 13/4,Miscellaneous : 16/6). Since 1975,mortality rate of repair of these anomalies has shown a striking decrease. As for the TGA, Mustard procedure seems to have little problems in group I, whereas results remained still poor in group II, in which earlier operation before pulmonary vascular disease develops will surely decrease the operative mortality rate. For the complete form of atrioventricular canal defect, 17 cases (type A : 13,type B : 1,type C : 3) were operated upon with a modified method of Rastelli's procedure and 4 cases were lost. Operative results of the cases having pulmonary vascular disease with Rp/Rs over than 0.6 were poor. We have successfully corrected in an asplenia syndrome with visceral heterotaxia, DORV c d-MGA, PS, complete A-V canal, TAPVR, PDA and others.
近畿大学の論文
1979-09-28