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題名 | Trans-Pulmonary Arterial Repair of Doubly-Committed Subarterial Ventricular Septal Defects=經由肺動脈來修補 "雙位共存動脈下" 心室中隔缺損 |
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作 者 | 蔡朝仁; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 19:1 1986.03[民75.03] |
頁次 | 頁14-17 |
分類號 | 416.262 |
關鍵詞 | 心室中隔缺損; 雙位共存動脈; 肺動脈; |
語文 | 英文(English) |
中文摘要 | 先天性心臟病心室中隔缺損的位置:上緣恰巧在主動脈與肺動脈瓣下,所以這種缺損在新的分類命名法上屬於"雙位共存動脈下"心室中隔缺損(Doubly Committed Subarterial type VSD)。由於心導管與超音波的正確診斷,我們可以經由肺動脈來修補此種缺損,由於手術視野清楚,容易修補。從民間74年3月至民國74年8月止,我們修補了8位這種病人,手術後病人恢復正常,心電圖都沒有傳導系統的阻礙。 |
英文摘要 | Ventricular septal defect (VSD) is situated beneath both the aortic and pulmonary valves, hence the defect is doubly-committed and of a subarterial type. This type of defect is relative rare in Western Europe and Northern America, but common in Japan and Southem America and our country. In a subarterial position the upper margin of the defect is formed by the contiguous facing leaflets of the aortic and pulmonary valves; the ventriculoinfundibular fold and conal septum constitute the rest of the margin. Between March and August 1985, eight patients aged 3 to 21 years with doubly committed subarterial type ventricular septal defect (VSD) had corrective surgery, performed via a trans-pulmonary arterial approach. This technique provided excellent exposure for accurate placement of sutures, especially between the two semilunar valves. All patients are well, with no residual defects, and their postoperative electrocardiograms (ECGs) show no intraventricular conduction abnormality. |
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