CAJ | 학술논문

目的分析心内型完全性肺静脉异位引流(TAPVC)的解剖特征及手术矫治对策.方法 1981年4月～2006年12月手术治疗心内型TAPVC 25例(男17例,女8例),年龄26 d～14岁,平均(2.56±3.56)岁;体重3.3～21.0 kg,平均(6.85±10.06)kg.依据Darling分型,分为ⅡA及ⅡB两个亚型.所有患儿行超声心动图及心导管检查确诊,均在全麻低温体外循环下行矫治术.结果所有患儿治愈出院.主要并发症为低心排出量综合征、肺水肿2例.随访3个月～26年,心功能均达到Ⅰ级,无肺静脉回流梗阻发生.结论心内型TAPVC确诊后宜尽早手术,成功的关键在于术前、术中对其解剖特征准确判定及合适的心房分隔.
목적 분석심내형완전성폐정맥이위인류(TAPVC)적해부특정급수술교치대책.방법 1981년4월～2006년12월수술치료심내형TAPVC 25례(남17례,녀8례),년령26 d～14세,평균(2.56±3.56)세;체중3.3～21.0 kg,평균(6.85±10.06)kg.의거Darling분형,분위ⅡA급ⅡB량개아형.소유환인행초성심동도급심도관검사학진,균재전마저온체외순배하행교치술.결과 소유환인치유출원.주요병발증위저심배출량종합정、폐수종2례.수방3개월～26년,심공능균체도Ⅰ급,무폐정맥회류경조발생.결론 심내형TAPVC학진후의진조수술,성공적관건재우술전、술중대기해부특정준학판정급합괄적심방분격.
Objective To investigate the anatomic features and surgical repair of cardiac total anomalous pulmonary venous connection(TAPVC).Methods Twenty-five patients underwent cardiac TAPVC repair between April 1981 and December 2006.Seventeen were males and 8 were females.The operative age ranged from 26 days to 14 years,mean(2.56±3.56)years.The weight ranged from 3.3 kg to 21.0 kg,mean(6.85±10.06)kg.According to Darling method,25 cases were divided into two subgroups(ⅡA and ⅡB).Diagnosis was made in all cases by echocardiography and cardiac catheterization preoperatively.All the patients underwent total correction under cardiopulmonary bypass.Resultb There was no hospital mortality.The main postoperative complications were low cardiac output syndrome and pulmonary edema in two cases.All patients were followed-up with a range of 3 months to 26 years.Heart function of all patients was grade L There was no postoperative pulmonary venous obstruction in these groups.Conclusions The surgical repair should be performed once the diagnosis is made.It is crueial to accurately understand the anatomic features and determine a suitable septum before operation.