新生児期における心臓大血管手術 : その遠隔成績からみた検討

概要

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Thirty-eight patients who had survived cardiovascular surgery in neonatal period were the subject of this study. These patients were divided into three groups. The first group includes total anomalous pulmonary venous return (TAPVR), coarctation of the aorta (Co/A), and patent ductus arteriosus (PDA). The patients of this group underwent primary correction, and are in good condition on a long term basis except one who underwent intracardiac repair of TAPVR. The second group includes Co/A complex, interruption of the aortic arch (IAA), complete transposition of arteries (dTGA) with high pulmonary blood flow, pulmonary atresia with intact ventricular septum (PPA), and pulmonary stenosis with intact ventricular septum (PPS). The patients of this group underwent two-staged correction. All of them are in good condition on a long term basis. The third group includes the other complicated cardiac malformations, and the patients of this group have not undergone intracardiac repair yet. Some of them underwent multiple palliation. In some cases, the feasibility of intracardiac repair cannot be found so far although they started to undergo palliative surgery from their neonatal period.
日本小児外科学会の論文
1988-06-20