CAJ | 학술논문

目的探讨心外管道全腔静脉-肺动脉连接术(TCPC)的手术适应证、手术方式的细节改进及尽量减少术后并发症的发生.方法回顾性分析12例复杂先天性心脏病患者的临床资料,全部采用CORE-TEX管道行心外管道TCPC,手术在体外循环辅助下进行,心脏停跳3例,不停跳常温并行循环9例.结果全组无死亡病例,2例出现顽固性胸腔积液,1例上腔吻合口狭窄伴颈内静脉血栓形成,全组患者血氧饱和度由67%～87%增加至93%～97%,术后随访6个月～2年,无死亡病例,生活质量均明显改善.结论全心外管道TCPC手术难度低,操作简便,减少了手术风险,手术效果满意.
목적 탐토심외관도전강정맥-폐동맥련접술(TCPC)적수술괄응증、수술방식적세절개진급진량감소술후병발증적발생.방법 회고성분석12례복잡선천성심장병환자적림상자료,전부채용CORE-TEX관도행심외관도TCPC,수술재체외순배보조하진행,심장정도3례,불정도상온병행순배9례.결과 전조무사망병례,2례출현완고성흉강적액,1례상강문합구협착반경내정맥혈전형성,전조환자혈양포화도유67%～87%증가지93%～97%,술후수방6개월～2년,무사망병례,생활질량균명현개선.결론 전심외관도TCPC수술난도저,조작간편,감소료수술풍험,수술효과만의.
Objective To evaluate the operative indication, improvement in operative method,and reducing the post-operation syndrome mostly. Methods Twelve patients with complex congenital heart disease were reviewed.All patients were operated in extracardiac conduit total cavopulmonaru connection with CORE-TEX tube under cardiopulmonary bypass, 3 cases with heart arrested and 9 cases without heart arrested. Results There were no death,2 cases had refractory pleural effusion,1 case had stenosis of the connection of superior vena and pulmonaru artery with thrombus formation of internal jugular vein,the oxygen saturation increased from 67%-87% to 93%-97%,all patients were followed up for 6 months to 2 years with no late death of them,the quality of life was improved in evidence. Conclusions Extracardiac conduit total cavopulmonaru connection is simple and effective,can minimize the operative risk factors and has good early results.