<症例>Ebstein奇形の4手術経験

概要

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Ebstein's anomaly is a relatively rare complex malformation that has been treated by various surgical techniques with relatively good results. Four patients with successful surgical repairs were presented and the surgical intervention was discussed. In the first ten-year old boy, Lillehei-Hardy's procedure was simultaneously performed with tricuspid annuloplasty after direct closure of the atrial septal defect. In the second five-year old girl with severe tricuspid stenosis and the unusally small functional right ventricle, Hancock xenograft was replaced without plication of the atrialized ventricle after direct closure of the patent foramen ovale. In the third eight-year old girl with W. P. W. syndrome (type B), Lillehei-Hardy's procedure was done after the interruption of Kent bundle and closure of the atrial septal defect. In the last four-year old boy with the corrected transposition of the great arteries and ventricular septal defect, patch closure of the defect and tricuspid valve replacement were performed. Low cardiac output syndrome and acute renal failure were postoperatively complicated but he survived after long-term intensive treatment with IABP and peritoneal dialysis.
近畿大学の論文
1981-03-25