<原著>完全型心内膜床欠損症根治手術の検討

概要

論文の詳細を見る
Forty-two patients with complete atrioventricular canal, from 4 months to 13 years of age, underwent corrective surgery according to Shirotani's procedure. Operative risk factors, pre-and postoperative hemodynamic results and ventricular function were evaluated. The operative mortality rate was 29% and the long-term survival rate was 62%. Operative risk factors were the age at operation, associated anomalies including tetralogy of Fallot, left ventricular outflow tract obstruction and cardiac cachexia. The operative results were poor in the patients with large VSD and excellent in those with small VSD. Postoperative CTR, Pp/Ps, Rp/Rs and RVEDV were decreased in all long-term survivors, however, in some of the patients, LAmax and LVEDV increased which was considered to be due to residual mitral regurgitation.
近畿大学の論文
1984-09-25