<症例>全肺静脈還流異常, 肺動脈狭窄を伴った両大血管右室起始症の手術経験

概要

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A rare case of double outlet right ventricle with situs solitus, d-loop and d-malposition (S.D.DM.) with subaortic VSD and pulmonary stenosis complicated with total anomalous pulmonary venous return is presented. The patient was a 9 year-old girl, who had undergone right side Blalock-Taussig shunt at 5 years old. Corrective surgery was performed under cardiopulmonary bypass with mild hypothermia and cardioplegia. The repair consisted of a patch-closure of atrial septal defect with Gore-Tex sheet, new fenestration of coronary vein to the left atrium by incising the superior wall of coronary vein, direct closure of coronary sinus, construction of an internal conduit from ventricular septal defect to the aorta and reconstruction of main pulmonary artery with a Hancock valved external conduit. In the postoperative course, she was troubled with low cardiac output syndrome and acute renal failure due to hypoplastic left heart and long time perfusion. Intra-aortic balloon pumping and peritoneal dialysis were required to survive. However, she died of intractable mediastinitis one month after surgery.
近畿大学の論文
1980-12-25