【同时修复漏斗胸及心内病变2例儿科患者】。

T Uchida, Y Iijima, A Hamasaki, Y Shimazaki
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引用次数: 0

摘要

本文报道了2例应用胸骨翻转腹直肌皮瓣及心内病变同时修复漏斗胸的成功病例。一名7岁女性(病例1)因马凡氏综合征被诊断为漏斗胸和主动脉环扩张。第二例患者为12岁男性(病例2),患有漏斗胸和室间隔缺损(VSD)。两例患者同时行胸骨翻转和心内修复术(例1:本特尔手术,例2:室间隔补片闭合)。在心脏手术前去除成本-sterno复合物可以获得良好的手术暴露。出血量最小,特别是病例2不需要输血。同时手术包括心脏内修复和胸骨翻转,甚至建议儿童患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Simultaneous repair for funnel chest and intracardiac lesions in two pediatric patients].

Two successful cases underwent simultaneous repair for funnel chest using sternal turnover with rectus abdominal flap and intracardiac lesions were reported. A 7-year-old female (case 1) was diagnosed with funnel chest and annulo-aortic ectasia due to Marfan's syndrome. Second patient was a 12-year-old male (case 2) with funnel chest and ventricular septal defect (VSD). Both patients underwent sternal turnover and intracardiac repair (case 1: Bentall's operation, case 2: patch closure of VSD), simultaneously. Removing the cost-sterno complex before cardiac operation allowed an excellent surgical exposure. Bleeding was minimum, especially no homologous blood transfusion was needed in case 2. Simultaneous surgery consisted of intracardiac repair and sternal turnover is recommended even for pediatric patients.

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