単純低体温下開心術における非経右室心室中隔欠損閉鎖術の臨床的研究

概要

論文の詳細を見る
Forty-four patients ranging in age from 6 to 36 months underwent closure of a ventricular septal defect (VSD) under simple deep hypothermia without cardiopulmonary bypass. The VSD was closed by non-trans ventricular (transatrial and transpulmonary arterial) approach in 23 of these 44 patients. In the remaining 21 patients, it was closed by transventricular approach. The operative technique, incidence of postoperative complications and postoperative course were compared between these 2 groups. The following conclusions were obtained. 1) The operative technique of the non-transventricular closure of VSD was not difficult as well as the transventricular closure. 2) There was no significant difference in the incidence of the postoperative complete right bundle blanch block and other complications between the two approaches. 3) To the postoperative course, the non-transventricular closure of VSD had the advantage over the transventricular closure in early postoperative period.
日本小児外科学会の論文
1983-02-20